Provider Demographics
NPI:1053446575
Name:WEBER, ALISON LEAH (MA)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:LEAH
Last Name:WEBER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 WABANA ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15214-1744
Mailing Address - Country:US
Mailing Address - Phone:412-281-1375
Mailing Address - Fax:412-281-6564
Practice Address - Street 1:1945 5TH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5547
Practice Address - Country:US
Practice Address - Phone:412-281-1375
Practice Address - Fax:412-281-6564
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAATT000442L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100880Medicaid
PA177976YAFUOtherMEDICARE PTAN
PA177976YAFUOtherMEDICARE PTAN
PA177976YAFUMedicare PIN