Provider Demographics
NPI:1477507010
Name:SADOWSKY, STEWART (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEWART
Middle Name:
Last Name:SADOWSKY
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 1:4716 ELLSWORTH AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2851
Mailing Address - Country:US
Mailing Address - Phone:412-682-2028
Mailing Address - Fax:412-682-4310
Practice Address - Street 1:4716 ELLSWORTH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2851
Practice Address - Country:US
Practice Address - Phone:412-682-2028
Practice Address - Fax:412-682-4310
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-003838-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA158-529OtherINDIVIDUAL PROVIDER #
PA548516000OtherMAGELLAN PRACTITIONER #
PA263-755OtherVENDOR #
PATYPE 41: 01956850Medicaid