Provider Demographics
NPI:1306514070
Name:MACURDY, BLAKE TAYLOR REGAN (MSED, NCC)
Entity type:Individual
Prefix:
First Name:BLAKE
Middle Name:TAYLOR REGAN
Last Name:MACURDY
Suffix:
Gender:F
Credentials:MSED, NCC
Other - Prefix:
Other - First Name:BLAKE
Other - Middle Name:TAYLOR
Other - Last Name:REGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6744 E BARIVISTA DR
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-1929
Mailing Address - Country:US
Mailing Address - Phone:724-504-3275
Mailing Address - Fax:
Practice Address - Street 1:7371 THOMAS BLVD # 205
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-2508
Practice Address - Country:US
Practice Address - Phone:412-876-7284
Practice Address - Fax:412-981-1475
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2025-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional