Deborah A. Gillman, Phd, Llc | |
5701 Centre Ave Ste L9 Pittsburgh PA 15206-3779 | |
(917) 887-2367 | |
Not Available |
Full Name | Deborah A. Gillman, Phd, Llc |
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Speciality | Clinic/Center |
Location | 5701 Centre Ave Ste L9, Pittsburgh, Pennsylvania |
Authorized Official Name and Position | Deborah A Gillman (OWNER) |
Authorized Official Contact | 9178872367 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Deborah A. Gillman, Phd, Llc 5701 Centre Ave Ste L9 Pittsburgh PA 15206-3779 Ph: (917) 887-2367 | Deborah A. Gillman, Phd, Llc 5701 Centre Ave Ste L9 Pittsburgh PA 15206-3779 Ph: (917) 887-2367 |
NPI Number | 1164141289 |
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Provider Enumeration Date | 08/23/2022 |
Last Update Date | 08/23/2022 |
Certification Date | 08/23/2022 |
Medicare PECOS PAC ID | 4880068212 |
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Medicare Enrollment ID | O20230324002086 |
Identifier | Type | State | Issuer |
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1164141289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Deborah A Gillman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1215181136 PECOS PAC ID: 1052591997 Enrollment ID: I20110209000406 |
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