Provider Demographics
NPI:1417541400
Name:CAMILLE INTERLIGI LLC
Entity Type:Organization
Organization Name:CAMILLE INTERLIGI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:INTERLIGI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:412-368-2846
Mailing Address - Street 1:4504 COLERIDGE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-1648
Mailing Address - Country:US
Mailing Address - Phone:412-368-2846
Mailing Address - Fax:
Practice Address - Street 1:4504 COLERIDGE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-1648
Practice Address - Country:US
Practice Address - Phone:412-368-2846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)