Provider Demographics
NPI:1144763988
Name:UPMC WASHINGTON CHILDREN'S THERAPY CENTER
Entity type:Organization
Organization Name:UPMC WASHINGTON CHILDREN'S THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-864-7000
Mailing Address - Street 1:161 COWAN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-1911
Mailing Address - Country:US
Mailing Address - Phone:201-953-1948
Mailing Address - Fax:724-579-1027
Practice Address - Street 1:1000 WATERDAM PLAZA DR
Practice Address - Street 2:SUITE 120
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-5427
Practice Address - Country:US
Practice Address - Phone:724-942-6125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UPMC WASHINGTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-28
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW133394251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health