Provider Demographics
NPI:1538848536
Name:WHITEAKER-CHUDECKE, ALIANNA
Entity type:Individual
Prefix:
First Name:ALIANNA
Middle Name:
Last Name:WHITEAKER-CHUDECKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 BROOKDALE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-1017
Mailing Address - Country:US
Mailing Address - Phone:469-834-2695
Mailing Address - Fax:
Practice Address - Street 1:5324 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1733
Practice Address - Country:US
Practice Address - Phone:412-441-4884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL017081235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist