Seed In The Soot Llc is a Counselor Clinic in Pittsburgh, Pennsylvania. It is located at 2720 Shady Ave, Pittsburgh, PA and its contact number is 412-297-1514. The authorized person for Seed In The Soot Llc is Dr. Sandra H Banks
who is Owner of the clinic and his/her contact number is 412-297-1514. The primary license number for Seed In The Soot Llc is PS016487 (Psychologist) in Pennsylvania.
Seed In The Soot Llc Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Seed In The Soot Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Seed In The Soot Llc |
| Specialization: | Clinical Neuropsychologist |
| Clinic Address: | 2720 Shady Ave, Pittsburgh,
Pennsylvania, 15217-2462 |
| Phone: | 412-297-1514 |
| Fax: | 412-945-5810 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Sandra H Banks |
| Position: | Owner |
| Contact Number: | 412-297-1514 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Seed In The Soot Llc clinic are as mentioned below.
| NPI Number: | 1952530891 |
| NPI Enumeration Date: | 14 Jul, 2009 |
| NPI Last Update On: | 01 May, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Seed In The Soot Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychologist | PS016487 | Pennsylvania | Primary | |
| Clinical Neuropsychologist | PS016487 | Pennsylvania | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 102219570 0002 | Medicaid | Pennsylvania | |
| 102317392 0001 | Medicaid | Pennsylvania | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Seed In The Soot Llc
2720 Shady Ave,
Pittsburgh, Pennsylvania |
| Zip: | 15217-2462 |
| Phone Number: | 412-297-1514 |
| Fax Number: | 412-945-5810 |
Patients can reach Seed In The Soot Llc at
2720 Shady Ave, Pittsburgh, Pennsylvania or can
call to book an appointment on 412-297-1514.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.