Herbert Hauris Daschbach, PH.D.

Individual provider Active NPI Clinical Psychologist · Crafton, PA

NPI 1295731339 · NPPES record last updated Apr 14, 2017

Key facts

NPI
1295731339
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PS-003082-L (PA)
Practice address
39 White Ave
Crafton, PA 15205-2847
Phone
(412) 921-0315
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS-003082-LPAMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-003082-L PA
Clinical Psychologist 103TC0700X PS-003082-L PA Yes

Addresses

Primary practice location

39 White Ave
Crafton, PA 15205-2847

Mailing address

25 Columbia Ave
Carnegie, PA 15106-1407

Other identifiers

IdentifierTypeStateIssuer
196784OtherPAVALUEOPTIONS, INC.
110309OtherPAUPMC HEALTH PLAN
0005824281OtherPAAETNA INSURANCE
50774000OtherPAMAGELLAN BEHAVIORAL HEALT

Other providers in Crafton, PA

All providers in Crafton, PA · Clinical Psychologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.