Provider Demographics
NPI:1558199505
Name:DIAMOND, AVIGAYIL (NCC)
Entity type:Individual
Prefix:
First Name:AVIGAYIL
Middle Name:
Last Name:DIAMOND
Suffix:
Gender:X
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2824
Mailing Address - Country:US
Mailing Address - Phone:412-368-2294
Mailing Address - Fax:
Practice Address - Street 1:4284 WILLIAM FLYNN HWY STE 207
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-1440
Practice Address - Country:US
Practice Address - Phone:412-353-9429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional