Provider Demographics
NPI:1386194777
Name:ROBERT F. COUFAL PHD AND ASSOCIATES PC
Entity Type:Organization
Organization Name:ROBERT F. COUFAL PHD AND ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:COUFAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:412-362-1470
Mailing Address - Street 1:5701 CENTRE AVE
Mailing Address - Street 2:SUITE L-12
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3744
Mailing Address - Country:US
Mailing Address - Phone:412-362-1470
Mailing Address - Fax:412-362-1472
Practice Address - Street 1:5701 CENTRE AVE
Practice Address - Street 2:SUITE L-12
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3744
Practice Address - Country:US
Practice Address - Phone:412-362-1470
Practice Address - Fax:412-362-1472
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBERT F. COUFAL, PHD AND ASSOCIATES PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-10
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005360L103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA003790896001OtherUNITED HEALTHCARE COMMUNITY PLAN
PA1788380OtherPROMISE
PA1832504OtherAETNA
PA207176OtherUPMC
PA0000507OtherCCBHO
PAVALUEOPTIONSOther116564
1624800OtherGATEWAY
PA621603OtherHIGHMARK
PA207176OtherUPMC