Provider Demographics
NPI:1811402316
Name:ECKLE, ANNA LOUISE
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:LOUISE
Last Name:ECKLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:DEBALDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4900 PERRY HWY BLDG 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-2220
Mailing Address - Country:US
Mailing Address - Phone:412-295-6734
Mailing Address - Fax:412-837-1290
Practice Address - Street 1:4900 PERRY HWY BLDG 2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-2220
Practice Address - Country:US
Practice Address - Phone:412-295-6734
Practice Address - Fax:412-837-1290
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA11727677103K00000X
PABH003678103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst