Healthcare Provider Details

I. General information

NPI: 1841043478
Provider Name (Legal Business Name): MEALTIME TOGETHER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 38TH ST
PITTSBURGH PA
15201-1205
US

IV. Provider business mailing address

313 38TH ST
PITTSBURGH PA
15201-1205
US

V. Phone/Fax

Practice location:
  • Phone: 717-439-0319
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE MILLER
Title or Position: CLINICAL DIRECTOR
Credential: MA, BCBA, LBS
Phone: 717-439-0319