Deriso, Miriam S.
Deriso, Miriam S. is an sole proprietor health care provider with primary practice located at 321 S Lang Ave , Pittsburgh PA 15208-2749. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Deriso, Miriam S. can be contacted via phone (412) 371-8899.Contact Information
Primary practice address
321 S Lang Ave
Pittsburgh PA 15208-2749
Phone: (412) 371-8899
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS007137L | Pennsylvania |
Profile Details
| NPI number | 1659371201 |
|---|---|
| LBN Legal business name | Deriso, Miriam S. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jul 18th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659371201 | NPPES |
| Pennsylvania | MEDICAID | 0014487710001 |
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