Provider Demographics
NPI:1861179327
Name:CATHERINE VOGEL MISTICK PC
Entity type:Organization
Organization Name:CATHERINE VOGEL MISTICK PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:VOGEL
Authorized Official - Last Name:MISTICK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-290-1750
Mailing Address - Street 1:1932 BEECHWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1704
Mailing Address - Country:US
Mailing Address - Phone:412-290-1750
Mailing Address - Fax:
Practice Address - Street 1:1932 BEECHWOOD BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1704
Practice Address - Country:US
Practice Address - Phone:412-290-1750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health