Provider Demographics
NPI:1861916470
Name:SONG AND REITZ PSYCHOLOGICAL ASSOCIATES
Entity type:Organization
Organization Name:SONG AND REITZ PSYCHOLOGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:TIPTON
Authorized Official - Last Name:SONG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-660-3598
Mailing Address - Street 1:20 CEDAR BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1330
Mailing Address - Country:US
Mailing Address - Phone:412-660-3598
Mailing Address - Fax:412-668-0903
Practice Address - Street 1:20 CEDAR BLVD STE 305
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1330
Practice Address - Country:US
Practice Address - Phone:412-660-3598
Practice Address - Fax:412-668-0903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0154691041C0700X
PAPS017481103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1679751077OtherBLUE CROSS BLUE SHILED, UPMC
PA1861822777OtherBLUE CROSS/BLUE SHIELD, UPMC