Individual
DR. DENISE ANN TERVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5655 BRYANT ST, PITTSBURGH, PA 15206-1511
(412) 713-0717
Mailing address
5655 BRYANT ST, PITTSBURGH, PA 15206-1511
(412) 713-0717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-005582-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000585785
MAGELLAN HIGHMARK PROVID
PA
01
—
PS-0005582-L
PS PSYCHOLOGIST LICENSE
PA
Enumeration date
03/02/2007
Last updated
03/22/2024
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