Provider Demographics
NPI:1932816592
Name:EABORN, TORRE MARIE
Entity Type:Individual
Prefix:
First Name:TORRE
Middle Name:MARIE
Last Name:EABORN
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 1:93 RODGERS DR
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-9124
Mailing Address - Country:US
Mailing Address - Phone:412-969-5534
Mailing Address - Fax:
Practice Address - Street 1:93 RODGERS DR
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-9124
Practice Address - Country:US
Practice Address - Phone:412-969-5534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional