Healthcare Provider Details

I. General information

NPI: 1780598110
Provider Name (Legal Business Name): JORDAN WUERTH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3319 BROWNSVILLE RD
PITTSBURGH PA
15227-2722
US

IV. Provider business mailing address

3319 BROWNSVILLE RD
PITTSBURGH PA
15227-2722
US

V. Phone/Fax

Practice location:
  • Phone: 719-963-8765
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMF000177
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: