Provider Demographics
NPI:1669696092
Name:O'KEEFE, JOYCE ANNE (SPEECH PATHOLOGIST)
Entity type:Individual
Prefix:MISS
First Name:JOYCE
Middle Name:ANNE
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:711 BINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1007
Mailing Address - Country:US
Mailing Address - Phone:412-995-5000
Mailing Address - Fax:412-995-5044
Practice Address - Street 1:711 BINGHAM ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1007
Practice Address - Country:US
Practice Address - Phone:412-995-5000
Practice Address - Fax:412-995-5044
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000967L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1017910650001Medicaid