=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588227318
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DR. ROBIN FREYBERG
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2019
-----------------------------------------------------
Last Update Date | 03/10/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5831 FORWARD AVE # 1219
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15217-2301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-326-9059
-----------------------------------------------------
Fax | 412-426-3801
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5831 FORWARD AVE # 1219
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15217-2301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-326-9059
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | SW136223
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------