Healthcare Provider Details

I. General information

NPI: 1578790945
Provider Name (Legal Business Name): STEPHANIE S. RICHARDS, MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 06/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 BRAUNLICH DR MCKNIGHT PLAZA, SUITE 480
PITTSBURGH PA
15237-3348
US

IV. Provider business mailing address

105 BRAUNLICH DR MCKNIGHT PLAZA, SUITE 480
PITTSBURGH PA
15237-3348
US

V. Phone/Fax

Practice location:
  • Phone: 412-358-8666
  • Fax: 412-358-8684
Mailing address:
  • Phone: 412-358-8666
  • Fax: 412-358-8684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberMD056113L
License Number StatePA

VIII. Authorized Official

Name: DR. STEPHANIE S RICHARDS
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 412-358-8666