Provider Demographics
NPI:1194712562
Name:SYSKO, HELEN B (PHD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:B
Last Name:SYSKO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 BINGHAM STREET
Mailing Address - Street 2:FRANKLIN BUILDING
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203
Mailing Address - Country:US
Mailing Address - Phone:412-235-5369
Mailing Address - Fax:412-235-5387
Practice Address - Street 1:1011 BINGHAM STREET
Practice Address - Street 2:4TH FLOOR FRANKLIN BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203
Practice Address - Country:US
Practice Address - Phone:412-235-5369
Practice Address - Fax:412-235-5387
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015545103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q32731Medicare UPIN
PA087063Medicare ID - Type Unspecified