MEDICARE: DR. CHERYL WINNING GHINASSI 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	PS009200L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	164503	OTHER	PA	MEDICARE UNSPECIFIED

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	172069	OTHER		VALUE OPTIONS
2	468102	OTHER	PA	HIGHMARK BLUE CROSS & BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	502286164	OTHER		UNITED BEHAVIORAL HEALTH
5	1485089	OTHER		HIGHMARK BLUE SHIELD
7	1984	OTHER	PA	HEALTH CHOICES

General Provider Information

NPI Number	:	1588704944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL WINNING GHINASSI PH.D.

Provider Business Mailing Address
First Line	:	1824 MURRAY AVE
Second Line	:	SUITE 303
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1655
Country	:	US
Telephone Number	:	412-523-8396
Fax Number	:	412-441-4514

Provider Business Practice Location Address
First Line	:	1824 MURRAY AVE
Second Line	:	SUITE 303
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1655
Country	:	US
Telephone Number	:	412-523-8396
Fax Number	:	412-441-4514

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

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	08/31/2010

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Directions to “ DR. CHERYL WINNING GHINASSI PH.D.” Practice Location

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