Organization
COGNITIVE DYNAMIC THERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE M GLANZ PHD (PSYCHOLOGIST OFFICER OF CORPORATION)
41266878700
Entity
Organization
Contact information
Practice address
155 N CRAIG STREET, SUITE 170, PITTSBURGH, PA 15213
(412) 687-8700
(412) 687-6808
Mailing address
155 N CRAIG STREET, SUITE 170, PITTSBURGH, PA 15213
(412) 687-8700
(412) 687-6808
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PC003890L
PA
103T00000X
Psychologist
Primary
PS003286L
PA
103T00000X
Psychologist
PS003484L
PA
103T00000X
Psychologist
PS008424L
PA
103T00000X
Psychologist
PS008790L
PA
103T00000X
Psychologist
PS009267L
PA
103T00000X
Psychologist
PS015021L
PA
103T00000X
Psychologist
PS015150L
PA
103T00000X
Psychologist
PS015188L
PA
104100000X
Social Worker
CW001050L
PA
104100000X
Social Worker
CW012126L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5099423
AETNA
PA
01
—
630549
HIGHMARK BLUE CROSS
PA
Enumeration date
08/20/2006
Last updated
03/08/2016
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