Provider Demographics
NPI:1336510452
Name:ABDELGHANI, NOUR MAHMOUD (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NOUR
Middle Name:MAHMOUD
Last Name:ABDELGHANI
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 1:5140 LIBERTY AVE STE A
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2215
Mailing Address - Country:US
Mailing Address - Phone:412-442-7717
Mailing Address - Fax:412-442-7718
Practice Address - Street 1:5140 LIBERTY AVE STE A
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2215
Practice Address - Country:US
Practice Address - Phone:412-442-7717
Practice Address - Fax:412-442-7718
Is Sole Proprietor?:No
Enumeration Date:2015-10-15
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10713103TC0700X
PAPS019518103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical