Provider Demographics
NPI:1285637736
Name:NELKEN, ANDREA L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:L
Last Name:NELKEN
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 1:640 CASCADE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4604
Mailing Address - Country:US
Mailing Address - Phone:412-719-0074
Mailing Address - Fax:
Practice Address - Street 1:640 CASCADE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4604
Practice Address - Country:US
Practice Address - Phone:412-719-0074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-28
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007736-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical