MEDICARE: MARY COMIS

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	PS020715	PA

General Provider Information

NPI Number	:	1407702459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY COMIS

Provider Business Mailing Address
First Line	:	85 GREENBRIAR DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-1814
Country	:	US
Telephone Number	:	412-880-8427
Fax Number	:

Provider Business Practice Location Address
First Line	:	345 REGIS AVE # 2
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-1430
Country	:	US
Telephone Number	:	412-294-7399
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ MARY COMIS ” Practice Location

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