Healthcare Provider Details

I. General information

NPI: 1588773113
Provider Name (Legal Business Name): ELIZABETH HEPLER-SMITH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 MCKNIGHT RD SUITE 304A
PITTSBURGH PA
15237-6000
US

IV. Provider business mailing address

9401 MCKNIGHT RD SUITE 304A
PITTSBURGH PA
15237-6000
US

V. Phone/Fax

Practice location:
  • Phone: 412-367-7015
  • Fax: 412-367-7358
Mailing address:
  • Phone: 412-367-7015
  • Fax: 412-367-7358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD033066E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: