Organization
NISAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL B O DONNELL (PRESIDENT)
(412) 374-8275
Entity
Organization
Contact information
Practice address
560 BEATTY ROAD, MONROEVILLE, PA 15146
(412) 374-8275
Mailing address
560 BEATTY ROAD, MONROEVILLE, PA 15146
(412) 374-8275
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0017260820008
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010755280006
—
PA
Enumeration date
12/05/2006
Last updated
06/05/2009
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