Provider Demographics
NPI:1619356268
Name:OLIVERIO, TIA (AUD)
Entity Type:Individual
Prefix:DR
First Name:TIA
Middle Name:
Last Name:OLIVERIO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4424
Mailing Address - Country:US
Mailing Address - Phone:412-657-0705
Mailing Address - Fax:
Practice Address - Street 1:3336 IVANHOE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1573
Practice Address - Country:US
Practice Address - Phone:412-657-0705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-28
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1619356268Other.