Provider Demographics
NPI:1093277378
Name:BOSS, CARRIE E (AUD)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:E
Last Name:BOSS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CHERRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3916
Mailing Address - Country:US
Mailing Address - Phone:412-526-6554
Mailing Address - Fax:412-885-9181
Practice Address - Street 1:5301 GROVE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-1691
Practice Address - Country:US
Practice Address - Phone:412-881-4377
Practice Address - Fax:412-885-9181
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006375231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist