Provider Demographics
NPI:1649991076
Name:CHARLAT, ANNIE CLAIRE
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:CLAIRE
Last Name:CHARLAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 AMBERSON AVE APT 135
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1456
Mailing Address - Country:US
Mailing Address - Phone:858-245-1032
Mailing Address - Fax:
Practice Address - Street 1:5301 BUTLER ST STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-2658
Practice Address - Country:US
Practice Address - Phone:412-441-9786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program