Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PS006906L | PA |
Y | 103TC0700X | Clinical Psychologist | PS006906L | PA |
NPI | 1003860503 |
---|---|
Provider Name | Mildred Libba Spiegel |
First Address | Pittsburgh, PA 15206-4409 |
Second Address | Pittsburgh, PA 15206-4409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 09/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
376425 | HIGHMARK # (01) | PA |