MEDICARE: SERINA H BURKHART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1528393972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERINA H BURKHART

Provider Business Mailing Address
First Line	:	10 DUFF RD
Second Line	:	SUITE 301
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-3260
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 DUFF RD
Second Line	:	SUITE 301
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-3260
Country	:	US
Telephone Number	:	412-731-9707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2009
Last Update Date	:	10/02/2009

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Directions to “ SERINA H BURKHART ” Practice Location

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