Provider Demographics
NPI:1114970134
Name:HOYLE, SALLY GEORGETTE (PHD)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:GEORGETTE
Last Name:HOYLE
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 1:155 N CRAIG ST
Mailing Address - Street 2:STE 170
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-687-8700
Mailing Address - Fax:412-687-6808
Practice Address - Street 1:155 N CRAIG ST
Practice Address - Street 2:STE 170
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-687-8700
Practice Address - Fax:412-687-6808
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015150L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA630549OtherHIGHMARK BLUE CROSS
PA1341818OtherHIGHMARK BLUE CROSS
PA0018555080001Medicaid