Provider Demographics
NPI:1073162558
Name:RANALLI, JAMIE SARA
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:SARA
Last Name:RANALLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2939 ESPY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-2016
Mailing Address - Country:US
Mailing Address - Phone:412-430-1447
Mailing Address - Fax:
Practice Address - Street 1:2939 ESPY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-2016
Practice Address - Country:US
Practice Address - Phone:412-430-1447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-08
Last Update Date:2019-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician