Provider Demographics
NPI:1710012356
Name:SUHRE, TERRI LYNNE
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:LYNNE
Last Name:SUHRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 MAPLE ST
Mailing Address - Street 2:ROOM B-1
Mailing Address - City:HOMESTEAD
Mailing Address - State:PA
Mailing Address - Zip Code:15120-1800
Mailing Address - Country:US
Mailing Address - Phone:412-464-4781
Mailing Address - Fax:412-464-1531
Practice Address - Street 1:1705 MAPLE ST
Practice Address - Street 2:ROOM B-1
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-1800
Practice Address - Country:US
Practice Address - Phone:412-464-4781
Practice Address - Fax:412-464-1531
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor