Provider Demographics
NPI:1073521324
Name:PREIS, ANNIE (PHD)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:PREIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6315 FORBES AVE STE B015
Mailing Address - Street 2:MAXON TOWERS
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1700
Mailing Address - Country:US
Mailing Address - Phone:412-421-4405
Mailing Address - Fax:
Practice Address - Street 1:6315 FORBES AVE STE B015
Practice Address - Street 2:MAXON TOWERS
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1700
Practice Address - Country:US
Practice Address - Phone:412-421-4405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007954L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist