Provider Demographics
NPI:1437371275
Name:CLEMENS, MICHELE (MS)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:CLEMENS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8218 BRAMBLE LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6305
Mailing Address - Country:US
Mailing Address - Phone:412-366-8716
Mailing Address - Fax:
Practice Address - Street 1:300 HALKET ST
Practice Address - Street 2:MAGEE-WOMENS HOSPITAL
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3108
Practice Address - Country:US
Practice Address - Phone:412-641-5316
Practice Address - Fax:412-641-1032
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS