Provider Demographics
NPI:1427315464
Name:TOWNSHIP OF UPPER ST. CLAIR
Entity type:Organization
Organization Name:TOWNSHIP OF UPPER ST. CLAIR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST DIRECTOR RECREATION & LEISURE
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLEASTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CPRP
Authorized Official - Phone:412-221-1099
Mailing Address - Street 1:1820 MCLAUGHLIN RUN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2300
Mailing Address - Country:US
Mailing Address - Phone:412-221-1099
Mailing Address - Fax:
Practice Address - Street 1:1551 MAYVIEW RD.
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241
Practice Address - Country:US
Practice Address - Phone:412-221-1099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004338133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty