Individual
JUDITH C DIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 WASHINGTON RD, #203, PITTSBURGH, PA 15228
(412) 563-5777
(412) 563-0122
Mailing address
520 WASHINGTON RD, #203, PITTSBURGH, PA 15228
(412) 563-5777
(412) 563-0122
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD18485E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104233
HIGHMARK BLUE SHIELD
PA
01
—
1438820
HIGHMARK BCBS
PA
01
—
1451593
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/08/2007
Last updated
07/08/2007
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