Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS018942 | PA |
Y | 103T00000X | Psychologist | PS018942 | PA |
N | 103G00000X | Clinical Psychologist | PS018942 | PA |
N | 103TC0700X | Clinical Psychologist | PS018942 | PA |
N | 103TH0100X | Health Service | PS018942 | PA |
N | 103TP2701X | Group Psychotherapist | PS018942 | PA |
NPI | 1457991218 |
---|---|
Provider Name | Dr. Camille Joi Interligi |
First Address | Pittsburgh, PA 15201-1648 |
Second Address | Pittsburgh, PA 15201-1648 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2020 |
Last Update Date | 08/12/2020 |