Healthcare Provider Details

I. General information

NPI: 1609789924
Provider Name (Legal Business Name): AMANDA CHIRUMBOLO MSED, CD (CHB)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3524 BUTLER ST FL 3
PITTSBURGH PA
15201-1315
US

IV. Provider business mailing address

240 SHADOWLAWN AVE
PITTSBURGH PA
15216-1222
US

V. Phone/Fax

Practice location:
  • Phone: 412-742-0010
  • Fax:
Mailing address:
  • Phone: 724-288-1609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: