Provider Demographics
NPI:1548715345
Name:NUETZEL, BRIANA
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:NUETZEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:
Other - Last Name:SCHATZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8354 ELAINE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6318
Mailing Address - Country:US
Mailing Address - Phone:412-491-1372
Mailing Address - Fax:
Practice Address - Street 1:8354 ELAINE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-6318
Practice Address - Country:US
Practice Address - Phone:412-491-1372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-22
Last Update Date:2022-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.12046235Z00000X
PASL012258235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSP12056OtherSTATE BOARD LICENSE