MEDICARE: DR. RICHARD S CITRIN PH.D.

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
1	103TC1900X	Counseling Psychologist	PS016650	PA

General Provider Information

NPI Number	:	1194523753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD S CITRIN PH.D.

Provider Business Mailing Address
First Line	:	130 CHAPEL HARBOR DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-3154
Country	:	US
Telephone Number	:	412-327-8744
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 CHAPEL HARBOR DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-3154
Country	:	US
Telephone Number	:	412-327-8744
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2025
Last Update Date	:	03/07/2025

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