Provider Demographics
NPI:1144226721
Name:DUQUESNE UNIVERSITY OF THE HOLY SPIRIT
Entity Type:Organization
Organization Name:DUQUESNE UNIVERSITY OF THE HOLY SPIRIT
Other - Org Name:DUQUESNE UNIVERSITY SPEECH-LANGUAGE-HEARING CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KETTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-251-9933
Mailing Address - Street 1:403 FISHER HALL 600 FORBES AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15282-0001
Mailing Address - Country:US
Mailing Address - Phone:412-396-4200
Mailing Address - Fax:412-396-1388
Practice Address - Street 1:406 FISHER HALL 711 FORBES AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15282-0001
Practice Address - Country:US
Practice Address - Phone:412-396-4200
Practice Address - Fax:412-396-1388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-28
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0C002735L225X00000X
PAAT005879231H00000X
261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty