# JUDITH DIVEN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174837900
- **Authorized official:** DR. JUDITH DIVEN M.D. (PRESIDENT)
- **Authorized official phone:** (412) 563-5777

## Contact information

- **Practice address:** 520 WASHINGTON RD, SUITE 203, MOUNT LEBANON, PA 15228-2819
- **Practice address phone:** (412) 563-5777
- **Practice address fax:** (412) 563-0122
- **Mailing address:** 520 WASHINGTON RD, SUITE 203, MOUNT LEBANON, PA 15228-2819
- **Mailing address phone:** (412) 563-5777
- **Mailing address fax:** (412) 563-0122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2010
- **Last updated:** 04/25/2011