Organization
JAMES & CHAROLETTE ENTERPRISES INC
Active
Other names
Mt. Washington psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER KELLY (PRACTICE MANAGER)
(412) 431-0711
Entity
Organization
Contact information
Practice address
160 SOUTHERN AVE, PITTSBURGH, PA 15211-1910
(412) 431-0711
(412) 431-0732
Mailing address
160 SOUTHERN AVE, PITTSBURGH, PA 15211-1910
(412) 431-0711
(412) 431-0732
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1502011
BLUE CROSS BLUE SHIELD
PA
Enumeration date
09/12/2006
Last updated
08/22/2020
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