Provider Demographics
NPI:1649587940
Name:AAC INSTITUTE CLINIC
Entity Type:Organization
Organization Name:AAC INSTITUTE CLINIC
Other - Org Name:ICAN TALK CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-489-5527
Mailing Address - Street 1:1100 WASHINGTON AVE STE 317
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-3617
Mailing Address - Country:US
Mailing Address - Phone:412-489-5527
Mailing Address - Fax:412-489-5726
Practice Address - Street 1:1100 WASHINGTON AVE STE 317
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-3617
Practice Address - Country:US
Practice Address - Phone:412-489-5527
Practice Address - Fax:412-489-5726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL006059L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty