Provider Demographics
NPI:1568834307
Name:TRBOVICH, ALICIA (PHD)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:TRBOVICH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:MORGAN
Other - Last Name:MORAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3200 S WATER ST.
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203
Mailing Address - Country:US
Mailing Address - Phone:412-432-3681
Mailing Address - Fax:
Practice Address - Street 1:3200 S WATER ST.
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203
Practice Address - Country:US
Practice Address - Phone:412-432-3681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017916103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist