Organization
FULL SPECTRUM PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XENIA BORUE MD PHD (PRESIDENT)
(412) 345-1159
Entity
Organization
Contact information
Practice address
12 EASTERN AVE STE 200, PITTSBURGH, PA 15215-3038
(412) 345-1159
Mailing address
132 HOWARD ST, MILLVALE, PA 15209-2524
(412) 345-1159
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030834200001
—
PA
Enumeration date
09/09/2020
Last updated
07/03/2024
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