Provider Demographics
NPI:1427355494
Name:PERSUN, TERRIE LYNN (BS)
Entity type:Individual
Prefix:MS
First Name:TERRIE
Middle Name:LYNN
Last Name:PERSUN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:16617-1039
Mailing Address - Country:US
Mailing Address - Phone:814-207-2546
Mailing Address - Fax:
Practice Address - Street 1:901 N 7TH ST
Practice Address - Street 2:
Practice Address - City:BELLWOOD
Practice Address - State:PA
Practice Address - Zip Code:16617-1039
Practice Address - Country:US
Practice Address - Phone:814-207-2546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor