Individual
COLLEEN JERVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LBS
Contact information
Practice address
429 WASHINGTON AVE STE 3, BRIDGEVILLE, PA 15017-2350
(412) 319-7371
Mailing address
363 VANADIUM RD STE 300, PITTSBURGH, PA 15243-1477
(412) 489-6357
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
09/28/2023
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