Provider Demographics
NPI:1801131677
Name:RUSH, GEORGIA CHRISTIAN
Entity type:Individual
Prefix:MS
First Name:GEORGIA
Middle Name:CHRISTIAN
Last Name:RUSH
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 1:5618 MCCANDLESS AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-2230
Mailing Address - Country:US
Mailing Address - Phone:412-737-3770
Mailing Address - Fax:412-774-2240
Practice Address - Street 1:5618 MCCANDLESS AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-2230
Practice Address - Country:US
Practice Address - Phone:412-737-3770
Practice Address - Fax:412-774-2240
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst