Healthcare Provider Details

I. General information

NPI: 1285675249
Provider Name (Legal Business Name): NORTH HILLS PSYCHOLOGICAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 02/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10475 PERRY HWY TOWN CENTRE, SUITE 300
WEXFORD PA
15090-9274
US

IV. Provider business mailing address

10475 PERRY HWY TOWN CENTRE, SUITE 300
WEXFORD PA
15090-9274
US

V. Phone/Fax

Practice location:
  • Phone: 724-759-7510
  • Fax: 724-759-7600
Mailing address:
  • Phone: 724-759-7510
  • Fax: 724-759-7600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: LORETTA A GEPHART
Title or Position: PRESIDENT/LICENSED PSYCHOLOGIST
Credential: M.A.
Phone: 724-759-7514