Provider Demographics
NPI:1740433283
Name:BELLISARIO, ERIN MARIE (MS-CCC/SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:BELLISARIO
Suffix:
Gender:F
Credentials:MS-CCC/SLP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MARIE
Other - Last Name:ROLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS-CCC/SLP
Mailing Address - Street 1:4801 BAYFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-1064
Mailing Address - Country:US
Mailing Address - Phone:724-444-0719
Mailing Address - Fax:
Practice Address - Street 1:550 S NEGLEY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1658
Practice Address - Country:US
Practice Address - Phone:412-665-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008966235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist