Provider Demographics
NPI:1194805077
Name:SINGH, SILVIJA SANDRA (PH D)
Entity type:Individual
Prefix:
First Name:SILVIJA
Middle Name:SANDRA
Last Name:SINGH
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 SHADY AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1465
Mailing Address - Country:US
Mailing Address - Phone:412-421-3720
Mailing Address - Fax:412-421-3740
Practice Address - Street 1:1655 SHADY AVE STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1465
Practice Address - Country:US
Practice Address - Phone:412-421-3720
Practice Address - Fax:412-421-3740
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005432L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01467113Medicaid
PAP031412OtherTRICARE #
PA227205000OtherAETNA ID #
PAS13823OtherMAGELLAN UPIN
PA713673Medicare UPIN