Provider Demographics
NPI:1255461364
Name:DEPAUL SCHOOL FOR HEARING AND SPEECH
Entity type:Organization
Organization Name:DEPAUL SCHOOL FOR HEARING AND SPEECH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:G
Authorized Official - Last Name:AULD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-924-1012
Mailing Address - Street 1:6202 ALDER STREET
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206
Mailing Address - Country:US
Mailing Address - Phone:412-924-1012
Mailing Address - Fax:412-924-1036
Practice Address - Street 1:6202 ALDER ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-5240
Practice Address - Country:US
Practice Address - Phone:412-924-1012
Practice Address - Fax:412-924-1036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X, 225X00000X, 225100000X, 2355S0801X
PAAT000183L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007782920006OtherMEDICAID-THERAPY
PA1007782920007OtherMEDICAID - AUDIOLOGY