Healthcare Provider Details

I. General information

NPI: 1629019765
Provider Name (Legal Business Name): KATHLEEN ANN CONLEY AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7180 HIGHLAND DR
PITTSBURGH PA
15206-1206
US

IV. Provider business mailing address

7180 HIGHLAND DR BUILDING 2, ROOM 1036N
PITTSBURGH PA
15206-1206
US

V. Phone/Fax

Practice location:
  • Phone: 412-365-4549
  • Fax: 412-265-4555
Mailing address:
  • Phone: 412-365-4545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT000015L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: