Provider Demographics
NPI:1659587632
Name:LEE FOGARTY GROUP
Entity Type:Organization
Organization Name:LEE FOGARTY GROUP
Other - Org Name:ELIZABETH FOGARTY, PHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOGARTY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:412-381-1816
Mailing Address - Street 1:307 4TH AVE
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-2108
Mailing Address - Country:US
Mailing Address - Phone:412-391-1816
Mailing Address - Fax:
Practice Address - Street 1:307 4TH AVE
Practice Address - Street 2:SUITE 1100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2108
Practice Address - Country:US
Practice Address - Phone:412-391-1816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA275159OtherBCBS
PA275159OtherBCBS