| Nisar Inc | |
|
560 Beatty Road Monroeville PA 15146 | |
| (412) 374-8275 | |
| Not Available |
| Full Name | Nisar Inc |
|---|---|
| Speciality | Psychologist |
| Location | 560 Beatty Road, Monroeville, Pennsylvania |
| Authorized Official Name and Position | Carol B O Donnell (PRESIDENT) |
| Authorized Official Contact | 4123748275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nisar Inc 560 Beatty Road Monroeville PA 15146 Ph: (412) 374-8275 | Nisar Inc 560 Beatty Road Monroeville PA 15146 Ph: (412) 374-8275 |
| NPI Number | 1245398692 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 06/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245398692 | NPI | - | NPPES |
| 1010755280006 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0017260820008 (Pennsylvania) | Primary |
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