Provider Demographics
NPI:1750849956
Name:PRINCE, ROBERT RYAN (BS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:RYAN
Last Name:PRINCE
Suffix:
Gender:M
Credentials:BS
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Mailing Address - Street 1:1789 S BRADDOCK AVE STE 570
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1868
Mailing Address - Country:US
Mailing Address - Phone:412-361-2570
Mailing Address - Fax:412-361-2599
Practice Address - Street 1:1789 S BRADDOCK AVE STE 570
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1868
Practice Address - Country:US
Practice Address - Phone:412-361-2570
Practice Address - Fax:412-361-2599
Is Sole Proprietor?:No
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health