| Jc Charlie, Inc. | |
|
650 Washington Rd Suite 130 Pittsburgh PA 15228-2702 | |
| (412) 779-4131 | |
| Not Available |
| Full Name | Jc Charlie, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 650 Washington Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Lisa Suzanne Schwarz (OWNER) |
| Authorized Official Contact | 4122213211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jc Charlie, Inc. 650 Washington Rd Suite 130 Pittsburgh PA 15228-2702 Ph: (412) 779-4131 | Jc Charlie, Inc. 650 Washington Rd Suite 130 Pittsburgh PA 15228-2702 Ph: (412) 779-4131 |
| NPI Number | 1245472943 |
|---|---|
| Provider Enumeration Date | 03/27/2009 |
| Last Update Date | 03/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245472943 | NPI | - | NPPES |
| 1316944267 | Other | PA | INDIVIDUAL NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS-007378-L (Pennsylvania) | Primary |
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