Provider Demographics
NPI:1174731152
Name:THERAPEUTIC EARLY INTERVENTION SERVICES, LP.
Entity type:Organization
Organization Name:THERAPEUTIC EARLY INTERVENTION SERVICES, LP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HUDAK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:412-421-0310
Mailing Address - Street 1:3 PARKWAY CENTER EAST, 2020 ARDMORE BLVD.
Mailing Address - Street 2:SUITE 295
Mailing Address - City:FOREST HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4638
Mailing Address - Country:US
Mailing Address - Phone:412-421-0310
Mailing Address - Fax:866-902-6694
Practice Address - Street 1:3 PARKWAY CENTER EAST, 2020 ARDMORE BLVD
Practice Address - Street 2:SUITE 295
Practice Address - City:FOREST HILLS
Practice Address - State:PA
Practice Address - Zip Code:15221-4638
Practice Address - Country:US
Practice Address - Phone:412-421-0310
Practice Address - Fax:866-902-6694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty