Provider Demographics
NPI:1295730844
Name:DOBOSH, PATRICIA KATHLEEN (PHD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:KATHLEEN
Last Name:DOBOSH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 WASHINGTON RD
Mailing Address - Street 2:SUITE 19
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2051
Mailing Address - Country:US
Mailing Address - Phone:412-344-1776
Mailing Address - Fax:412-344-1772
Practice Address - Street 1:750 WASHINGTON RD
Practice Address - Street 2:SUITE 19
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2051
Practice Address - Country:US
Practice Address - Phone:412-344-1776
Practice Address - Fax:412-344-1772
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-19
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS009262L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOIP547742OtherMAGELLAN
PA1385481OtherHIGHMARK