Individual
DR. MARIO FISCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
258 42ND STREET, PITTSBURGH, PA 15201-2862
(412) 683-4060
(412) 683-4061
Mailing address
258 42ND STREET, PITTSBURGH, PA 15201-2862
(412) 683-4060
(412) 683-4061
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
PS003283L
PA
103TC0700X
Clinical Psychologist
PS003283L
PA
103TP2701X
Group Psychotherapy Psychologist
PS003283L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083122
BLUE CROSS BLUE SHIELD PR
PA
Enumeration date
04/24/2007
Last updated
09/11/2025
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