MEDICARE: JG EARLY INTERVENTION SPECIALISTS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133V00000X	Registered Dietitian
2	252Y00000X	Early Intervention Provider Agency
3	103T00000X	Psychologist
4	104100000X	Social Worker
5	225100000X	Physical Therapist
6	2251P0200X	Pediatric Physical Therapist
7	225X00000X	Occupational Therapist
8	164W00000X	Licensed Practical Nurse
9	235Z00000X	Speech-Language Pathologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740306265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JG EARLY INTERVENTION SPECIALISTS INC.

Provider Business Mailing Address
First Line	:	9800B MCKNIGHT RD
Second Line	:	SUITE 150
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6020
Country	:	US
Telephone Number	:	412-364-2446
Fax Number	:	412-364-5195

Provider Business Practice Location Address
First Line	:	9800B MCKNIGHT RD
Second Line	:	SUITE 150
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6020
Country	:	US
Telephone Number	:	412-364-2446
Fax Number	:	412-364-5195

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MRS. JENNI GALBRAITH
Credential	:	M.ED.
Telephone Number	:	412-364-2446

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	10/09/2015

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