Individual
JENNA PAULINE MATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 FREEPORT RD STE 250, PITTSBURGH, PA 15238-3121
(412) 967-0610
Mailing address
4949 ELLSWORTH AVE, PITTSBURGH, PA 15213-2806
(412) 389-8489
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS018924
PA
103TS0200X
School Psychologist
—
—
Other
Enumeration date
05/22/2017
Last updated
11/01/2019
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