Provider Demographics
NPI:1396908380
Name:ROBERT F COUFAL PHD
Entity type:Organization
Organization Name:ROBERT F COUFAL PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:COUFAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:412-362-1470
Mailing Address - Street 1:5701 CENTRE AVE STE L11
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3787
Mailing Address - Country:US
Mailing Address - Phone:412-362-1470
Mailing Address - Fax:412-362-1472
Practice Address - Street 1:5701 CENTRE AVE STE L11
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3787
Practice Address - Country:US
Practice Address - Phone:412-362-1470
Practice Address - Fax:412-362-1472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005360L103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Single Specialty