Individual
SUSAN BOURDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CS
Contact information
Practice address
2345 MURRAY AVE, SUITE 200, PITTSBURGH, PA 15217-2352
(412) 421-6770
(412) 421-6596
Mailing address
2345 MURRAY AVE, SUITE 200, PITTSBURGH, PA 15217-2352
(412) 421-6770
(412) 421-6596
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
RN321656L
PA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN321656L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100730154
—
PA
Enumeration date
06/30/2006
Last updated
06/18/2008
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