PATRICIA DEWALT


Address: 310 S Home Ave, Pittsburgh, PA 15202-2806
Phone: 4127342904

PATRICIA DEWALT (NPI# 1114318433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114318433
Entity Type Individual
Full Name PATRICIA DEWALT
Practice Address 310 S Home Ave
Pittsburgh
PA 15202-2806
Practice Telephone 4127342904
Mailing Telephone 4127342904
Enumeration Date 2015-02-09
Last Update Date 2015-02-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
RN293408L PA Ambulatory Health Care Facilities

Office Location

Street Address 310 S HOME AVE
City PITTSBURGH
State PA
Zip Code 15202-2806

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1245766310 Prime Psychiatric Care, LLC Clinic/Center 6245 Living Place, Suite 2085, Pittsburgh, PA 15206 2017-05-10
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1629494117 Jaspreet S Brar Clinic/Center 3501 Forbes Ave Rm 354, Wpic, Upmc, Pittsburgh, PA 15213-3317 2014-03-09
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Competitor

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City PITTSBURGH
Zip Code 15202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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