1194730820 NPI number — THE ALLEGHENY VALLEY INSTITUTE FOR THE DEVELOPMENT OF LEARNING

Table of content: (NPI 1194730820)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194730820 NPI number — THE ALLEGHENY VALLEY INSTITUTE FOR THE DEVELOPMENT OF LEARNING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE ALLEGHENY VALLEY INSTITUTE FOR THE DEVELOPMENT OF LEARNING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194730820
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/30/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1607 THIRD ST.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEAVER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-728-1666
Provider Business Mailing Address Fax Number:
724-728-1660

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1607 THIRD ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEAVER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-728-1666
Provider Business Practice Location Address Fax Number:
724-594-1092
Provider Enumeration Date:
07/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NIGAM
Authorized Official First Name:
SUNITA
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
724-728-8411

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1013136840001 . This is a "MEDIC. ASSIST. SPEECH,OT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000172514 . This is a "UNISON SPEECH & OT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001854405 . This is a "HIGHMARK OT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001667683 . This is a "HIGHMARK SPEECH THERAPY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 382751 . This is a "AETNA SPEECH & OT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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