Organization
THE WATSON INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY BETH BOYLAN PH.D. (DIRECTOR)
(412) 365-3815
Entity
Organization
Contact information
Practice address
255 S NEGLEY AVE, PITTSBURGH, PA 15206-3522
(412) 365-3815
(412) 365-6775
Mailing address
255 S NEGLEY AVE, PITTSBURGH, PA 15206-3522
(412) 365-3815
(412) 365-6775
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
414590
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007525810003
—
PA
01
—
1487469
HIGHMARK BLUE CROSS BLUE SHIELD
PA
Enumeration date
03/20/2014
Last updated
03/20/2014
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