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General NPI Number Information
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NPI Number | 1407230543
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Entity Type | Organization
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Legal Business Name | THREE RIVERS PSYCHOLOGICAL ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/18/2015
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 122 AUDREY DR
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City | PITTSBURGH
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State | PA
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Zip | 15236-3817
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Country | US
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Telephone | 412-426-0343
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Fax |
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Provider Business Mailing Address
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Address Line | 122 AUDREY DR
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City | PITTSBURGH
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State | PA
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Zip | 15236-3817
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Country | US
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Telephone | 412-426-0343
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | DR. TIFFANY LEONARD
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Credential | PSY.D.
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Telephone | 412-426-0343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PS017662
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License Number State | PA
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