Provider Demographics
NPI:1720127889
Name:BEVERLEY, GAY SALPER (PH D)
Entity Type:Individual
Prefix:DR
First Name:GAY
Middle Name:SALPER
Last Name:BEVERLEY
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:604 SO LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2813
Mailing Address - Country:US
Mailing Address - Phone:412-361-8734
Mailing Address - Fax:412-362-8328
Practice Address - Street 1:401 SHADY AVE
Practice Address - Street 2:STE A106
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-4457
Practice Address - Country:US
Practice Address - Phone:412-362-9388
Practice Address - Fax:412-362-8328
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003871L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist