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Individual

NICOLE FUSCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1350 OLD FREEPORT RD STE 1A, PITTSBURGH, PA 15238-3122
(412) 406-7734
(412) 406-7742
Mailing address
1350 OLD FREEPORT RD STE 1A, PITTSBURGH, PA 15238-3122
(412) 406-7734
(412) 406-7742

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018978
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS018978
STATE LICENSE
PA
Enumeration date
03/13/2020
Last updated
03/13/2020
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