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NPI Code Detail

MEDICARE: DR. ANDREA L NELKEN PSY.D.

MEDICARE: DR. ANDREA L NELKEN PSY.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
1103TC0700XClinical PsychologistPS007736-LPA

General Provider Information

NPI Number : 1285637736
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA L NELKEN PSY.D.
Provider Business Mailing Address
First Line : 640 CASCADE RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15221-4604
Country : US
Telephone Number : 412-719-0074
Fax Number :
Provider Business Practice Location Address
First Line : 640 CASCADE RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15221-4604
Country : US
Telephone Number : 412-719-0074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2005
Last Update Date : 09/06/2022

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