MEDICARE: GREEN TREE SPEECH LLC

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1093578916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREEN TREE SPEECH LLC

Provider Business Mailing Address
First Line	:	137 W MANILLA AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-2622
Country	:	US
Telephone Number	:	412-853-9290
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 W MANILLA AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-2622
Country	:	US
Telephone Number	:	412-853-9290
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	BRITTANY R SEFICK
Credential	:	M.S.
Telephone Number	:	412-853-9290

Provider Enumeration Date	:	02/02/2024
Last Update Date	:	02/02/2024

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Directions to “GREEN TREE SPEECH LLC ” Practice Location

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