1922067008 NPI number — MRS. CLAIRE S VATZ SLP MA CCC

Table of content: MRS. CLAIRE S VATZ SLP MA CCC (NPI 1922067008)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922067008 NPI number — MRS. CLAIRE S VATZ SLP MA CCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VATZ
Provider First Name:
CLAIRE
Provider Middle Name:
S
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
SLP MA CCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SANTAGATI
Provider Other First Name:
CLAIRE
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
SLP MA CCC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1922067008
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1374 TERRACE DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15228
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-343-7006
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
250 MT LEBANON BOULEVARD
Provider Second Line Business Practice Location Address:
STE 411
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-563-2434
Provider Business Practice Location Address Fax Number:
412-563-7610
Provider Enumeration Date:
03/20/2006

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 , with the licence number:  SL000364L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 77821 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 9843422 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2270753 . This is a "AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 35471 . This is a "HEALTH AMERICA ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 104027 . This is a "UPHC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 466014 . This is a "HIGHMARK VA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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