MEDICARE: DR. MARCIA L TURBINER 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	103T00000X	Psychologist	PS 004552 L	PA

General Provider Information

NPI Number	:	1669470613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCIA L TURBINER PH.D.

Provider Business Mailing Address
First Line	:	71 HIMBER ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15209-2131
Country	:	US
Telephone Number	:	412-821-6263
Fax Number	:	412-252-2427

Provider Business Practice Location Address
First Line	:	71 HIMBER ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15209-2131
Country	:	US
Telephone Number	:	412-821-6263
Fax Number	:	412-252-2427

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	07/08/2007

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