Healthcare Provider Details

I. General information

NPI: 1972854883
Provider Name (Legal Business Name): MAUREEN ANN HURLEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2012
Last Update Date: 10/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 YOST BLVD SUITE 211
PITTSBURGH PA
15221-5283
US

IV. Provider business mailing address

21 YOST BLVD SUITE 211
PITTSBURGH PA
15221-5283
US

V. Phone/Fax

Practice location:
  • Phone: 412-829-7223
  • Fax:
Mailing address:
  • Phone: 412-829-7223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW017460
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: