NPI 1649463548 · live from the CMS NPI Registry
Advanced Diagnostics PC
Psychologist in Pittsburgh, PA. National Provider Identifier 1649463548, active.
NPI record
| NPI | 1649463548 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 3519 Bigelow Blvd, Pittsburgh, PA 15213 |
| Practice phone | 412-683-8378 |
| Enumerated | August 23, 2007 |
| Last updated | August 23, 2007 |
| Authorized official | Gregory Nicosia, Owner/Psychologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — (PA) |
| Psychologist primary | 103T00000X | — (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.