Individual
DR. ERIC P FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2702 TILBURY AVE, PITTSBURGH, PA 15217-2517
(304) 281-8442
(412) 428-9744
Mailing address
2702 TILBURY AVE, PITTSBURGH, PA 15217-2517
(304) 281-8442
(412) 428-9744
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
174400000X
Specialist
PS006251L
PA
174400000X
Specialist
WV612
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001747805
BLUE CROSS/BLUE SHIELD
WV
01
—
612A
HEALTH PLAN OF UPPER OHIO
WV
Enumeration date
04/04/2006
Last updated
04/12/2022
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