Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS001105L | PA |
Y | 103T00000X | Psychologist | PS001105L | PA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | MD027559L | PA |
NPI | 1558397208 |
---|---|
Provider Name | Dr. Jules Kann |
First Address | Pittsburgh, PA 15213-2744 |
Second Address | Pittsburgh, PA 15213-2744 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2006 |
Last Update Date | 13/01/2010 |