Provider Demographics
NPI:1689878845
Name:O'HARA, TERRY RICHARD (PHD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:RICHARD
Last Name:O'HARA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:TERRY
Other - Middle Name:RICHARD
Other - Last Name:O'HARA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:145 44TH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-3038
Mailing Address - Country:US
Mailing Address - Phone:412-362-1007
Mailing Address - Fax:412-605-0329
Practice Address - Street 1:145 44TH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-3038
Practice Address - Country:US
Practice Address - Phone:412-362-1007
Practice Address - Fax:412-605-0329
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015376103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist