Provider Demographics
NPI:1457425621
Name:TORMEY, KENNETH BRIAN (PSYD)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:BRIAN
Last Name:TORMEY
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 1:342 BIRCH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2377
Mailing Address - Country:US
Mailing Address - Phone:412-343-3123
Mailing Address - Fax:
Practice Address - Street 1:10700 FRANKSTOWN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3049
Practice Address - Country:US
Practice Address - Phone:412-247-5780
Practice Address - Fax:412-247-1099
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008950L103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent