Provider Demographics
NPI:1568875607
Name:OBERBARNSCHEIDT, THERSILLA (MD)
Entity Type:Individual
Prefix:
First Name:THERSILLA
Middle Name:
Last Name:OBERBARNSCHEIDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:THERSILLA
Other - Middle Name:
Other - Last Name:WITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3501 FORBES AVE STE 900
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3326
Mailing Address - Country:US
Mailing Address - Phone:517-897-0917
Mailing Address - Fax:
Practice Address - Street 1:3501 FORBES AVE STE 900
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:517-897-0917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53150664651835P1300X
MI43011059112084P0800X
PAMD4631322084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry