Provider Demographics
NPI:1265984009
Name:HERRITY, GEORGE (PSYD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:HERRITY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 N CRAIG ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2744
Mailing Address - Country:US
Mailing Address - Phone:412-345-1032
Mailing Address - Fax:
Practice Address - Street 1:128 S CRAIG STREET
Practice Address - Street 2:SUITE 214
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-345-1032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-27
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018146103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist