Organization
SONG AND REITZ PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY TIPTON SONG LCSW (CO OWNER)
(412) 660-3598
Entity
Organization
Contact information
Practice address
20 CEDAR BLVD STE 305, PITTSBURGH, PA 15228-1330
(412) 660-3598
(412) 668-0903
Mailing address
20 CEDAR BLVD STE 305, PITTSBURGH, PA 15228-1330
(412) 660-3598
(412) 668-0903
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS017481
PA
1041C0700X
Clinical Social Worker
CW015469
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679751077
BLUE CROSS BLUE SHILED, UPMC
PA
01
—
1861822777
BLUE CROSS/BLUE SHIELD, UPMC
PA
Enumeration date
07/26/2017
Last updated
07/21/2022
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