MEDICARE: KATHERINE FEDELE PHD

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	PS020000	PA

General Provider Information

NPI Number	:	1902458623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE FEDELE PHD

Provider Business Mailing Address
First Line	:	3202 MCKNIGHT EAST DR
Second Line	:	PMB 374
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6423
Country	:	US
Telephone Number	:	412-219-2622
Fax Number	:

Provider Business Practice Location Address
First Line	:	3202 MCKNIGHT EAST DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6423
Country	:	US
Telephone Number	:	412-219-2622
Fax Number	:

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

Provider Enumeration Date	:	07/12/2019
Last Update Date	:	04/06/2026

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Directions to “ KATHERINE FEDELE PHD” Practice Location

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