1629578281 NPI number — STRONG FOUNDATIONS PSYCHOLOGICAL ASSOCIATES, INC.

Table of content: (NPI 1629578281)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629578281 NPI number — STRONG FOUNDATIONS PSYCHOLOGICAL ASSOCIATES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STRONG FOUNDATIONS PSYCHOLOGICAL ASSOCIATES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
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Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1629578281
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
351 S AIKEN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15232-1001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-574-2787
Provider Business Mailing Address Fax Number:
412-279-1418

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
363 VANADIUM RD STE 105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15243-1477
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-368-2211
Provider Business Practice Location Address Fax Number:
412-279-1418
Provider Enumeration Date:
02/20/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
REITZ
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
BUCKLEY
Authorized Official Title or Position:
PRACTICE OWNER
Authorized Official Telephone Number:
814-574-2787

Provider Taxonomy Codes

  • Taxonomy code: 103TC2200X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)