Doctor Name: | MS. ANGELA JANE LINEBAUGH |
NPI Number: | 1801916028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, ATR-BC, LPC |
License Number: | PC001191 |
Business Practice Address: | 77 Shoe House Rd Hellam, PA - 174068025 |
Business Phone Number: | 7177551033 |
Business Fax Number: | 7178403791 |
Mailing Address: | 32 Cottage Ave, ELIZABETHTOWN |
State: | PA |
Postal Code: | 170222009 |
Phone Number: | 7173610670 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC001191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |