Organization
DORMONT PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM T HOFFMAN PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(412) 719-0957
Entity
Organization
Contact information
Practice address
3043 W LIBERTY AVE, PITTSBURGH, PA 15216-2460
(412) 719-0957
(877) 742-6060
Mailing address
3043 W LIBERTY AVE, PITTSBURGH, PA 15216-2460
(412) 719-0957
(877) 742-6060
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PS 016547
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022693840005
—
PA
Enumeration date
11/16/2011
Last updated
11/16/2011
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