Provider Demographics
NPI:1952711723
Name:FORD, ATHENA (MED)
Entity Type:Individual
Prefix:
First Name:ATHENA
Middle Name:
Last Name:FORD
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N. WHITFIELD STREET MEDICAL CENTER EAST
Mailing Address - Street 2:SUITE NUMBER 780
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206
Mailing Address - Country:US
Mailing Address - Phone:412-361-2570
Mailing Address - Fax:412-361-2599
Practice Address - Street 1:211 N WHITFIELD ST
Practice Address - Street 2:SUITE NUMBER 780
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3039
Practice Address - Country:US
Practice Address - Phone:412-361-2570
Practice Address - Fax:412-361-2599
Is Sole Proprietor?:No
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health