MEDICARE: DR. KALEIGH BANTUM PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist
2	103T00000X	Psychologist	PS018036	PA

General Provider Information

NPI Number	:	1245651181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KALEIGH BANTUM PHD

Provider Business Mailing Address
First Line	:	125 EMERYVILLE DR
Second Line	:	SUITE 230
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5020
Country	:	US
Telephone Number	:	724-609-5002
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 EMERYVILLE DR
Second Line	:	SUITE 230
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5020
Country	:	US
Telephone Number	:	724-609-5002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2013
Last Update Date	:	03/08/2017

Similar Medicare Providers

1528061470 — DR. KATHERINE SCRUGGS MD
Practice Location Address:

125 EMERYVILLE DR STE 110
CRANBERRY TOWNSHIP, PA
16066-5020

Practice Phone: 412-854-7140
Practice Fax: 412-854-7142

1467884791 — PHYSICIAN LANDING ZONE, P.C.
Practice Location Address:

125 EMERYVILLE DR , SUITE 120
CRANBERRY TOWNSHIP, PA
16066-5020

Practice Phone: 724-772-2340
Practice Fax: 724-772-2347

1639505613 — ALLEGHENY CLINIC
Practice Location Address:

125 EMERYVILLE DR , SUITE 120
CRANBERRY TOWNSHIP, PA
16066-5020

Practice Phone: 412-772-2340
Practice Fax: 412-772-2347

1649641218 — MRS. NICOLE ALYSSA GIBSON M.S.ED., LPC, NCC
Practice Location Address:

125 EMERYVILLE DR STE 230
CRANBERRY TOWNSHIP, PA
16066-5020

Practice Phone: 724-609-5002
Practice Fax:

1881058808 — AMBER ROGERS LPC
Practice Location Address:

125 EMERYVILLE DR , SUITE 230
CRANBERRY TOWNSHIP, PA
16066-5020

Practice Phone: 724-609-5002
Practice Fax: 724-299-8964

1457899627 — ANDREW KOHL
Practice Location Address:

125 EMERYVILLE DR STE 230
CRANBERRY TOWNSHIP, PA
16066-5020

Practice Phone: 724-609-5002
Practice Fax:

Directions to “ DR. KALEIGH BANTUM PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.