Individual
DR. JOSEF F. TYBL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
990 GREENTREE RD, SUITE 103, PITTSBURGH, PA 15220-3239
(412) 921-2325
(412) 341-6963
Mailing address
990 GREENTREE RD, SUITE 103, PITTSBURGH, PA 15220-3239
(412) 921-2325
(412) 341-6963
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-005444-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166787
VALUE OPTIONS
PA
01
—
174234
GREAT WEST
PA
01
—
212214
MHN
PA
01
—
34568S
CAQH
PA
05
—
41-01435862
—
PA
01
—
716118
HIGHMARK BLUE SHIELD
PA
01
—
IP134758
MBH
PA
Enumeration date
05/18/2007
Last updated
07/08/2007
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