Provider Demographics
NPI:1770536237
Name:YURASKO, KELLY M (MSLP,CCC-SLP)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:M
Last Name:YURASKO
Suffix:
Gender:F
Credentials:MSLP,CCC-SLP
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:M
Other - Last Name:TEORSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSLP,CCC-SLP
Mailing Address - Street 1:9800 MCKNIGHT RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6003
Mailing Address - Country:US
Mailing Address - Phone:412-366-5278
Mailing Address - Fax:412-364-1785
Practice Address - Street 1:9800 MCKNIGHT RD
Practice Address - Street 2:SUITE 130
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-6003
Practice Address - Country:US
Practice Address - Phone:412-366-5278
Practice Address - Fax:412-364-1785
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL0072132355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant