Provider Demographics
NPI:1316518426
Name:PERDUE, ADRIANA
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:
Last Name:PERDUE
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:ADRIANA
Other - Middle Name:V
Other - Last Name:PERDUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:795 PINE VALLEY DR STE 18
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-2800
Mailing Address - Country:US
Mailing Address - Phone:724-519-7150
Mailing Address - Fax:
Practice Address - Street 1:795 PINE VALLEY DR STE 18
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-2800
Practice Address - Country:US
Practice Address - Phone:724-519-7150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019287103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist