Provider Demographics
NPI:1851340210
Name:LEBOVITS, ROBERT WILLIAM (PHD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:WILLIAM
Last Name:LEBOVITS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1789 S BRADDOCK AVE
Mailing Address - Street 2:SUITE 375
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1842
Mailing Address - Country:US
Mailing Address - Phone:412-371-2210
Mailing Address - Fax:412-371-1115
Practice Address - Street 1:1789 S BRADDOCK AVE
Practice Address - Street 2:SUITE 375
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1842
Practice Address - Country:US
Practice Address - Phone:412-371-2210
Practice Address - Fax:412-371-1115
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003549L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA083853OtherHIGHMARK BLUE SHIELD
PA104693OtherUPMC HEALTH PLAN
PA170462OtherVALUEOPTIONS
PA104693OtherUPMC HEALTH PLAN
PA083853OtherHIGHMARK BLUE SHIELD