Individual
HEATHER J UFBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
810 CLAIRTON BLVD STE 500600, PITTSBURGH, PA 15236-5505
(412) 650-1100
(412) 650-1101
Mailing address
1405 SHADY AVE, PITTSBURGH, PA 15217-1350
(412) 420-2253
(412) 420-2510
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS016555
PA
103TR0400X
Rehabilitation Psychologist
PS016555
PA
103TS0200X
School Psychologist
PS016555
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102782329-0001
—
PA
Enumeration date
11/19/2012
Last updated
04/24/2019
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