Provider Demographics
NPI:1053322388
Name:OSACHY, LISA ANN (PSYD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:OSACHY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4323 LUSTER ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-3041
Mailing Address - Country:US
Mailing Address - Phone:412-848-1923
Mailing Address - Fax:
Practice Address - Street 1:4068 MT ROYAL BLVD
Practice Address - Street 2:SUITE 125
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101
Practice Address - Country:US
Practice Address - Phone:412-492-0644
Practice Address - Fax:412-492-9906
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS075484103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist