Provider Demographics
NPI:1881626158
Name:MCCALL, DOROTHY K (PHD)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:K
Last Name:MCCALL
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 1:673 WASHINGTON ROAD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228
Mailing Address - Country:US
Mailing Address - Phone:412-343-4066
Mailing Address - Fax:
Practice Address - Street 1:673 WASHINGTON ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228
Practice Address - Country:US
Practice Address - Phone:412-343-4066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW006704L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA110049OtherWESTERN BEN HEALTH
PA686305OtherHIGHMARK