Organization
MT. LEBANON PSYCHOLOGICAL DIAGNOSTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN ANTHONY COBBETT PH.D. (CLINICAL DIRECTOR)
(412) 833-7444
Entity
Organization
Contact information
Practice address
1725 WASHINGTON RD STE 404-C, PITTSBURGH, PA 15241-1207
(412) 833-7444
Mailing address
1725 WASHINGTON RD STE 404-C, PITTSBURGH, PA 15241-1207
(412) 833-7444
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS 003752
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630666
HIGHMARK BLUE CROSS
PA
Enumeration date
05/06/2007
Last updated
08/22/2020
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