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NPI Code Detail

MEDICARE: LEAH WARCHOL PA-C

MEDICARE: LEAH WARCHOL PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianMA065009PA

General Provider Information

NPI Number : 1073245049
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH WARCHOL PA-C
Provider Business Mailing Address
First Line : 1909 WATERFRONT PL APT 219
Second Line :
City : PITTSBURGH
State : PA
Zip : 15222-5708
Country : US
Telephone Number : 708-548-8156
Fax Number :
Provider Business Practice Location Address
First Line : 9855 RINAMAN RD
Second Line :
City : WEXFORD
State : PA
Zip : 15090-9226
Country : US
Telephone Number : 724-799-8558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2022
Last Update Date : 01/05/2024

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