JESSICA WALTERS


Address: 4117 Penn Ave, Pittsburgh, PA 15224-1305
Phone: 7249333910

JESSICA WALTERS (NPI# 1962742973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962742973
Entity Type Individual
Full Name JESSICA WALTERS
Other Name JESSICA BLEIL
Credential PHD
Practice Address 4117 Penn Ave
Pittsburgh
PA 15224-1305
Mailing Address 11279 Perry Hwy
Suite 450
Wexford
PA 15090-9381
Practice Telephone 7249333910
Practice Fax Number 7249334508
Mailing Telephone 7249331100
Mailing Fax Number 7249331105
Enumeration Date 2013-02-28
Last Update Date 2013-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

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1821515420 Jessica Walters Behavior Technician 12222 S 1000 E, Draper, UT 84020-8278 2017-08-24
1285089854 Jessica Walters Developmental Therapist 501 W Broadway, Suite 800, San Diego, CA 92101-3536 2016-05-02
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Office Location

Street Address 4117 PENN AVE
City PITTSBURGH
State PA
Zip Code 15224-1305

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336618289 Jessica Reyes Angel Student in an Organized Health Care Education/Training Program 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 2018-11-21
1497239131 Tal Levin-decanini Nurse Practitioner Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 2018-09-19
1649750951 Mario Castro Medina Transplant Surgery Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 2018-08-16
1245745785 Ericka Blake Lias Pediatrics Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 2017-12-06
1316463904 Olivia Graham Speech-Language Pathologist 4414 Woolslayer Way, Pittsburgh, PA 15224 2017-08-16
1821525437 Megan Eileen Gunsaulus Pediatrics Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 2017-05-12
1336593771 Matthew Shao-lin Wong Student in an Organized Health Care Education/Training Program 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 2016-04-22
1295110427 Chananya Karunasumetta Thoracic Surgery (Cardiothoracic Vascular Surgery) 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 2015-07-29
1518348705 Montserrat Antonieta Corbera-hincapie Pediatrics Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 2015-06-12
1497136782 Christopher Thomas Stem Pediatrics Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 2015-06-12
Find all providers in zip 15224

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972155380 Community Diagnostic Center for Children Clinical Neuropsychologist 160 N Craig St Ste 118, Pittsburgh, PA 15213-2714 2019-07-15
1093239824 Ryan P.j. Stocker Clinical Neuropsychologist 135 Cumberland Rd Ste 108, Pittsburgh, PA 15237-5447 2017-08-02
1568834307 Alicia Trbovich Clinical Neuropsychologist 3200 S Water St., Pittsburgh, PA 15203 2015-10-20
1629358783 Vanessa R Talkington Clinical Neuropsychologist 345 Regis Ave Ste 2, Pittsburgh, PA 15236-1423 2011-08-22
1487944476 Stuart Robert Steinhauer Clinical Neuropsychologist 138 Westchester Dr, Pittsburgh, PA 15215-1658 2011-04-12
1952530891 Seed In The Soot LLC Clinical Neuropsychologist 2720 Shady Ave, Pittsburgh, PA 15217-2462 2009-07-14
1447489372 Jennifer Marie Keller Clinical Neuropsychologist 7180 Highland Dr # 16e, Pittsburgh, PA 15206-1206 2009-07-13
1235301052 David Francis Mcpeak Clinical Neuropsychologist 523 Edgeridge Dr, Pittsburgh, PA 15234-2411 2008-04-01
1568557072 Sharon Kuznik Arffa Clinical Neuropsychologist 101 Fort Couch Road, Pittsburgh, PA 15216-1165 2006-10-03
1174576110 Paula M Cerrone Clinical Neuropsychologist 2345 Murray Ave Ste 305, Pittsburgh, PA 15217-2352 2006-05-19
Find all providers in PITTSBURGH

Competitor

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City PITTSBURGH
Zip Code 15224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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