Organization
THE OFFICES OF DAVID PRYBOCK PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PRYBOCK PH.D. (LICENSED PSYCHOLOGIST)
(412) 952-5348
Entity
Organization
Contact information
Practice address
134 S HIGHLAND AVE, SUITE 17, PITTSBURGH, PA 15206-3968
(412) 952-5348
Mailing address
134 S HIGHLAND AVE, SUITE 17, PITTSBURGH, PA 15206-3968
(412) 952-5348
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015862
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102993851 0001
—
PA
Enumeration date
05/13/2015
Last updated
05/13/2015
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