Provider Demographics
NPI:1194523753
Name:CITRIN, RICHARD S (PHD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:S
Last Name:CITRIN
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 CHAPEL HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3154
Mailing Address - Country:US
Mailing Address - Phone:412-327-8744
Mailing Address - Fax:
Practice Address - Street 1:130 CHAPEL HARBOR DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3154
Practice Address - Country:US
Practice Address - Phone:412-327-8744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016650103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling