Provider Demographics
NPI:1891809166
Name:AILES, DANA LYNN (MS CCC-A)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:LYNN
Last Name:AILES
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 SYLVANIA DR
Mailing Address - Street 2:
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-5333
Mailing Address - Country:US
Mailing Address - Phone:412-782-5566
Mailing Address - Fax:412-782-2387
Practice Address - Street 1:100 DELAFIELD RD
Practice Address - Street 2:SUITE 207
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3247
Practice Address - Country:US
Practice Address - Phone:412-782-5566
Practice Address - Fax:412-782-2387
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000684 L231H00000X
PAAT000684L237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA474767OtherAETNA US HEALTH CARE
PAAI 201584OtherSECURITY BLUE
PAAI 201584OtherSECURITY BLUE