MEDICARE: DR. LEAH J. HERMAN PSYD

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	103TC1900X	Counseling Psychologist	PS018971	PA

General Provider Information

NPI Number	:	1760616957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEAH J. HERMAN PSYD

Provider Business Mailing Address
First Line	:	526 CENTER ST
Second Line	:
City	:	EAST PITTSBURGH
State	:	PA
Zip	:	15112-1188
Country	:	US
Telephone Number	:	724-804-8388
Fax Number	:

Provider Business Practice Location Address
First Line	:	526 CENTER ST
Second Line	:
City	:	EAST PITTSBURGH
State	:	PA
Zip	:	15112-1188
Country	:	US
Telephone Number	:	724-804-8388
Fax Number	:

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

Provider Enumeration Date	:	05/04/2009
Last Update Date	:	09/30/2021

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