Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103G00000X | Clinical Psychologist | PS-004518L | PA |
N | 103TC0700X | Clinical Psychologist | PS-004518L | PA |
NPI | 1467568378 |
---|---|
Provider Name | Patricia Marie Hayes |
First Address | Pittsburgh, PA 15221 |
Second Address | Pittsburgh, PA 15240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PS-04518L | LICENSE PSYCHOLOGIST (01) | PA |