Provider Demographics
NPI:1063856086
Name:HURD, SUSAN MCCHORD (LCPC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:MCCHORD
Last Name:HURD
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 OVERBROOK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2101
Mailing Address - Country:US
Mailing Address - Phone:410-227-8331
Mailing Address - Fax:
Practice Address - Street 1:520 OVERBROOK RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2101
Practice Address - Country:US
Practice Address - Phone:410-227-8331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-21
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4586101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional