Provider Demographics
NPI:1083830921
Name:COUFAL, ROBERT F (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:COUFAL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 CENTRE AVE
Mailing Address - Street 2:SUITE L-11
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3744
Mailing Address - Country:US
Mailing Address - Phone:412-362-1470
Mailing Address - Fax:412-362-1472
Practice Address - Street 1:5701 CENTRE AVE
Practice Address - Street 2:SUITE L-11
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3744
Practice Address - Country:US
Practice Address - Phone:412-362-1470
Practice Address - Fax:412-362-1472
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005360L103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA207176OtherUPMC
PA621603OtherHIGHMARK
PA116564OtherVALUE OPTIONS
PA1788380OtherPROMISE
PA0000507OtherCCBHO
PA621603OtherHIGHMARK