MEDICARE: SUSAN RUA LPC

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	101YP2500X	Professional Counselor	PC005344	PA

General Provider Information

NPI Number	:	1881920429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN RUA LPC

Provider Business Mailing Address
First Line	:	602 BASCOM AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-1008
Country	:	US
Telephone Number	:	412-628-0403
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 BAILEY AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15211-1728
Country	:	US
Telephone Number	:	412-628-0403
Fax Number	:

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

Provider Enumeration Date	:	11/01/2009
Last Update Date	:	10/09/2024

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Directions to “ SUSAN RUA LPC” Practice Location

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