Organization
ALLEGHENY CLINIC
Active
Other names
Allegheny Center for Digestive Health PhD
Organization subpart
No
Provider details
NPI number
Authorized official
TESHA LOVELACE (CREDENTIALING SPEC)
(412) 330-5187
Entity
Organization
Contact information
Practice address
1307 FEDERAL ST, SUITE 301, PITTSBURGH, PA 15212-4769
(412) 359-8900
(412) 359-9877
Mailing address
1307 FEDERAL ST, SUITE 301, PITTSBURGH, PA 15212-4769
(412) 359-8900
(412) 359-9877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007317140349
—
PA
Enumeration date
09/28/2007
Last updated
09/07/2016
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