DR. JEB GORDON JAMES JUNGWIRTH


Address: 808 Western Ave, Pittsburgh, PA 15233-1716
Phone: 2623394016

DR. JEB GORDON JAMES JUNGWIRTH (NPI# 1932517810) 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) 1932517810
Entity Type Individual
Full Name DR. JEB GORDON JAMES JUNGWIRTH
Credential PH.D.
Practice Address 808 Western Ave
Pittsburgh
PA 15233-1716
Practice Telephone 2623394016
Mailing Telephone 2623394016
Enumeration Date 2014-07-23
Last Update Date 2014-07-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PS017628 PA Behavioral Health & Social Service Providers

Office Location

Street Address 808 WESTERN AVE
City PITTSBURGH
State PA
Zip Code 15233-1716

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City PITTSBURGH
Zip Code 15233

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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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