Organization
ALLEGHENY CLINIC
Active
Other names
Allegheny Neurological Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE GENTILE (PROVIDER CREDENTIALING SPECIALIST)
(412) 330-5853
Entity
Organization
Contact information
Practice address
490 E NORTH AVE STE 500, PITTSBURGH, PA 15212-4765
(412) 359-8860
(412) 359-8809
Mailing address
490 E NORTH AVE STE 500, PITTSBURGH, PA 15212-4765
(412) 359-8860
(412) 359-8809
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007317140351
—
PA
Enumeration date
03/25/2008
Last updated
05/12/2017
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