1932531456 NPI number — CHRISTINA YEAGER PELATTI

Table of content: CHRISTINA YEAGER PELATTI (NPI 1932531456)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932531456 NPI number — CHRISTINA YEAGER PELATTI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PELATTI
Provider First Name:
CHRISTINA
Provider Middle Name:
YEAGER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
YEAGER
Provider Other First Name:
CHRISTINA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1932531456
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/07/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8000 YORK RD
Provider Second Line Business Mailing Address:
TOWSON UNIVERSITY, SPEECH LANGUAGE & HEARING CENTER
Provider Business Mailing Address City Name:
TOWSON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21252-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-704-7302
Provider Business Mailing Address Fax Number:
410-704-6303

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 OLYMPIC PL
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
TOWSON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21204-4104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-704-7302
Provider Business Practice Location Address Fax Number:
410-704-6303
Provider Enumeration Date:
08/07/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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