Provider Demographics
NPI:1346250040
Name:CONNER, TERENCE DURBORAW II (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:TERENCE
Middle Name:DURBORAW
Last Name:CONNER
Suffix:II
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY DRIVE DIVISION, UNIVERSITY DRIVE
Mailing Address - Street 2:ROOM 6W-149
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15240
Mailing Address - Country:US
Mailing Address - Phone:412-688-6000
Mailing Address - Fax:412-688-6808
Practice Address - Street 1:UNIVERSITY DRIVE DIVISION, UNIVERSITY DRIVE
Practice Address - Street 2:ROOM 6W-149
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240
Practice Address - Country:US
Practice Address - Phone:412-688-6000
Practice Address - Fax:412-688-6808
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0150461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical