Provider Demographics
NPI:1265583983
Name:CHASE-BASSO, ALLISON LYNNE (MA CCC A)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LYNNE
Last Name:CHASE-BASSO
Suffix:
Gender:F
Credentials:MA CCC A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2539 WASHINGTON RD STE 1010
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2500
Mailing Address - Country:US
Mailing Address - Phone:724-941-4434
Mailing Address - Fax:740-369-0812
Practice Address - Street 1:2539 WASHINGTON RD STE 1010
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2500
Practice Address - Country:US
Practice Address - Phone:724-941-4434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA01589231H00000X
PAAT005947231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2095254Medicaid