Provider Demographics
NPI:1770883340
Name:DRURY, EDWARD ALAN (BS)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:ALAN
Last Name:DRURY
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 879
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-0879
Mailing Address - Country:US
Mailing Address - Phone:724-850-7300
Mailing Address - Fax:
Practice Address - Street 1:1 CORPORATE CIR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-9700
Practice Address - Country:US
Practice Address - Phone:724-850-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health