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NPI Code Detail

MEDICARE: SUSAN LOIS LAUENBACHER M,ED.

MEDICARE: SUSAN LOIS LAUENBACHER M,ED.
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
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA2707609059OTHERPAPDE CERTIFICATION IN SPECIAL EDUCATION

General Provider Information

NPI Number : 1437383619
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN LOIS LAUENBACHER M,ED.
Provider Business Mailing Address
First Line : 1450 INGHAM ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-2874
Country : US
Telephone Number : 412-322-0140
Fax Number : 412-322-4626
Provider Business Practice Location Address
First Line : 1450 INGHAM ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-2874
Country : US
Telephone Number : 412-322-0140
Fax Number : 412-322-4626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2009
Last Update Date : 05/04/2009

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Directions to “ SUSAN LOIS LAUENBACHER M,ED.” Practice Location

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