Provider Demographics
NPI:1124196175
Name:BLEIL, THERESA MARIE (SLP)
Entity Type:Individual
Prefix:MS
First Name:THERESA
Middle Name:MARIE
Last Name:BLEIL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:ROSE
Other - Last Name:BLEIL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA,CCC-SLP
Mailing Address - Street 1:225 ALLENBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1001
Mailing Address - Country:US
Mailing Address - Phone:412-527-0434
Mailing Address - Fax:412-851-9272
Practice Address - Street 1:225 ALLENBERRY CIR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1001
Practice Address - Country:US
Practice Address - Phone:412-527-0434
Practice Address - Fax:412-851-9272
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000644L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist