Organization
PRESSLEY RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH BLAIR (SENIOR ACCOUNTING MANAGER)
(412) 321-6995
Entity
Organization
Contact information
Practice address
870 FOREST ST, DOVER, DE 19904-3418
(302) 677-1590
(302) 677-1591
Mailing address
530 MARSHALL AVE, PITTSBURGH, PA 15214-3016
(412) 321-6995
(412) 321-7008
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
517754
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000023576
—
DE
Enumeration date
02/21/2007
Last updated
03/26/2021
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