Provider Demographics
NPI:1578567814
Name:PASSELTINER, PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:PASSELTINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 S PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2327
Mailing Address - Country:US
Mailing Address - Phone:412-683-6760
Mailing Address - Fax:
Practice Address - Street 1:3959 5TH AVE
Practice Address - Street 2:#334 WILLIAM PITT UNION
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3550
Practice Address - Country:US
Practice Address - Phone:412-648-7930
Practice Address - Fax:412-648-7933
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD054643L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7211132Medicaid
PA7211132Medicaid
PAG18726Medicare UPIN