MEDICARE: DR. NANCIE PHILLIPS TORMEY 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	PS015269	PA

General Provider Information

NPI Number	:	1740228139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCIE PHILLIPS TORMEY PH.D.

Provider Business Mailing Address
First Line	:	342 BIRCH AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-2377
Country	:	US
Telephone Number	:	412-343-3123
Fax Number	:

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	:	412-805-4951
Fax Number	:

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	07/09/2007

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