Provider Demographics
NPI:1164141289
Name:DEBORAH A. GILLMAN, PHD, LLC
Entity Type:Organization
Organization Name:DEBORAH A. GILLMAN, PHD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:GILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:917-887-2367
Mailing Address - Street 1:5701 CENTRE AVE STE L9
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3779
Mailing Address - Country:US
Mailing Address - Phone:917-887-2367
Mailing Address - Fax:
Practice Address - Street 1:5701 CENTRE AVE STE L9
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3779
Practice Address - Country:US
Practice Address - Phone:917-887-2367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health