Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS007894L | PA |
Y | 103T00000X | Psychologist | PS007894L | PA |
NPI | 1013193978 |
---|---|
Provider Name | Lois Hudak |
First Address | Pittsburgh, PA 15238-3114 |
Second Address | Pittsburgh, PA 15238-3114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2008 |
Last Update Date | 10/01/2008 |