Provider Demographics
NPI:1336127596
Name:SORKIN, BRUCE A (PHD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:A
Last Name:SORKIN
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:PO BOX 13035
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-0035
Mailing Address - Country:US
Mailing Address - Phone:412-344-5941
Mailing Address - Fax:412-345-3779
Practice Address - Street 1:427 GREENHURST DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1919
Practice Address - Country:US
Practice Address - Phone:412-344-5941
Practice Address - Fax:412-345-3779
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005575-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01960773Medicaid
PA5493601OtherAETNA INSURANCE NUMBER
PA110351OtherPROVIDER # UPMC INSURANCE
PA5493601OtherAETNA INSURANCE NUMBER
PA01960773Medicaid