Healthcare Provider Details

I. General information

NPI: 1326580309
Provider Name (Legal Business Name): AMY TRESSLER MS, CCC/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2016
Last Update Date: 11/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 PORTER AVE
SCOTTDALE PA
15683-1147
US

IV. Provider business mailing address

816 JEAN ST
CONNELLSVILLE PA
15425-4613
US

V. Phone/Fax

Practice location:
  • Phone: 724-887-0100
  • Fax:
Mailing address:
  • Phone: 724-544-1302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL003825L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: