Provider Demographics
NPI:1659338978
Name:MCDONALD, TERRY WOLINSKY (PHD)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:WOLINSKY
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 MOREWOOD AVENUE
Mailing Address - Street 2:#G-6
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-421-1300
Mailing Address - Fax:412-621-9353
Practice Address - Street 1:6315 FORBES AVENUE
Practice Address - Street 2:SUITE B26
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217
Practice Address - Country:US
Practice Address - Phone:412-421-1300
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS009009L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017729600002Medicaid
PA754976OtherHIGHMARK BLUE CROSS
PA754976OtherHIGHMARK BLUE CROSS
PA0017729600002Medicaid