Provider Demographics
NPI:1124127261
Name:JUNE V ISALY & ASSOCIATES INC
Entity type:Organization
Organization Name:JUNE V ISALY & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:FIRESTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-369-4285
Mailing Address - Street 1:PO BOX 81037
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-0537
Mailing Address - Country:US
Mailing Address - Phone:412-369-4285
Mailing Address - Fax:412-939-0246
Practice Address - Street 1:603 MCKNIGHT PARK DRIVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-6503
Practice Address - Country:US
Practice Address - Phone:412-369-4285
Practice Address - Fax:412-939-0246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA802742Medicare ID - Type Unspecified
X12250Medicare UPIN