Provider Demographics
NPI:1265574941
Name:BURDA, ELAINE CAROLYN (MA ATR LPC)
Entity type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:CAROLYN
Last Name:BURDA
Suffix:
Gender:F
Credentials:MA ATR LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2644 BANKSVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216
Mailing Address - Country:US
Mailing Address - Phone:412-942-0517
Mailing Address - Fax:412-343-8249
Practice Address - Street 1:2644 BANKSVILLE ROAD
Practice Address - Street 2:FAMILY LINKS
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216
Practice Address - Country:US
Practice Address - Phone:412-942-0517
Practice Address - Fax:412-343-8249
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002887101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional