MEDICARE: DR. PATRICIA K DOBOSH 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	103TC0700X	Clinical Psychologist	PS009262L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	IP547742	OTHER	MO	MAGELLAN
2	1385481	OTHER	PA	HIGHMARK

General Provider Information

NPI Number	:	1295730844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA K DOBOSH PH.D.

Provider Business Mailing Address
First Line	:	750 WASHINGTON RD
Second Line	:	SUITE 19
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-2051
Country	:	US
Telephone Number	:	412-344-1776
Fax Number	:	412-344-1772

Provider Business Practice Location Address
First Line	:	750 WASHINGTON RD
Second Line	:	SUITE 19
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-2051
Country	:	US
Telephone Number	:	412-344-1776
Fax Number	:	412-344-1772

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

Provider Enumeration Date	:	06/19/2005
Last Update Date	:	11/19/2025

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