Provider Demographics
NPI:1760518237
Name:SCHAEFER, KIERAN ALLAN (MS)
Entity Type:Individual
Prefix:MR
First Name:KIERAN
Middle Name:ALLAN
Last Name:SCHAEFER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8103 PATRICIA DRIVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6329
Mailing Address - Country:US
Mailing Address - Phone:412-635-9369
Mailing Address - Fax:412-687-1168
Practice Address - Street 1:532 S AIKEN AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1521
Practice Address - Country:US
Practice Address - Phone:412-687-1288
Practice Address - Fax:412-687-1168
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT0003887L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA11229006OtherUNITED HEALTH CARE
PA1034325Medicaid
PA14987OtherELDER HEALTH
PA5655241OtherAETNA
PA5655241OtherAETNA
PA1034325Medicaid