Healthcare Provider Details

I. General information

NPI: 1790600526
Provider Name (Legal Business Name): CLAIRE K RUSOKE PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 SHADY AVE
BRIDGEVILLE PA
15017-1961
US

IV. Provider business mailing address

250 CEDAR RIDGE DR APT 509
MONROEVILLE PA
15146-3150
US

V. Phone/Fax

Practice location:
  • Phone: 412-668-2038
  • Fax: 412-668-2054
Mailing address:
  • Phone: 412-668-2038
  • Fax: 412-668-2054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: