Provider Demographics
NPI:1902921646
Name:SOBEL, NORMAN R (MS)
Entity Type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:R
Last Name:SOBEL
Suffix:
Gender:M
Credentials:MS
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Other - First Name:
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Mailing Address - Street 1:71 MCMURRAY RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1634
Mailing Address - Country:US
Mailing Address - Phone:412-833-6602
Mailing Address - Fax:412-833-6602
Practice Address - Street 1:71 MCMURRAY RD
Practice Address - Street 2:SUITE 108
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1634
Practice Address - Country:US
Practice Address - Phone:412-833-6602
Practice Address - Fax:412-833-6602
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPS003634L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019672000001Medicaid