Provider Demographics
NPI:1437422672
Name:TEABERRY, MAURA JEAN (MS,SLP-CFY)
Entity Type:Individual
Prefix:MISS
First Name:MAURA
Middle Name:JEAN
Last Name:TEABERRY
Suffix:
Gender:F
Credentials:MS,SLP-CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 ROYAL DOULTON CT
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9797
Mailing Address - Country:US
Mailing Address - Phone:724-816-6535
Mailing Address - Fax:
Practice Address - Street 1:5827 MERIDIAN RD
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9404
Practice Address - Country:US
Practice Address - Phone:724-444-5537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist