Provider Demographics
NPI:1649375676
Name:LEVINE HATCH, CYNTHIA ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:LEVINE HATCH
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 1:850 BOYCE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1541
Mailing Address - Country:US
Mailing Address - Phone:412-914-0141
Mailing Address - Fax:
Practice Address - Street 1:850 BOYCE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1541
Practice Address - Country:US
Practice Address - Phone:412-914-0141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008268L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical