Healthcare Provider Details

I. General information

NPI: 1801723390
Provider Name (Legal Business Name): DEREK BURR MS, LAPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1929 DAILEY AVE
LATROBE PA
15650-3087
US

IV. Provider business mailing address

218 N SHENANDOAH DR APT 101
LATROBE PA
15650-2530
US

V. Phone/Fax

Practice location:
  • Phone: 724-532-1700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002362
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: