Organization
BRAIN HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL D. NUSSBAUM PH.D, ABPP (PRESIDENT AND CLINICAL PSYCHOLOGIST)
(412) 471-1195
Entity
Organization
Contact information
Practice address
7500 BROOKTREE RD STE 105, WEXFORD, PA 15090-9285
(412) 471-1195
Mailing address
7500 BROOKTREE RD STE 105, WEXFORD, PA 15090-9285
(412) 471-1195
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS006448-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014500900007
—
PA
Enumeration date
01/14/2013
Last updated
06/03/2021
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