Provider Demographics
NPI:1164254082
Name:DR. IBRAHIM KURDIEH, PSYCHOLOGIST, INC
Entity type:Organization
Organization Name:DR. IBRAHIM KURDIEH, PSYCHOLOGIST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KURDIEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-260-2516
Mailing Address - Street 1:7816 SAILOR PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1844
Mailing Address - Country:US
Mailing Address - Phone:984-260-2516
Mailing Address - Fax:
Practice Address - Street 1:7816 SAILOR PL
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1844
Practice Address - Country:US
Practice Address - Phone:984-260-2516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty