Provider Demographics
NPI:1871080390
Name:MAYA LINNEA ANDLIG
Entity type:Organization
Organization Name:MAYA LINNEA ANDLIG
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:LINNEA
Authorized Official - Last Name:ANDLIG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-749-4949
Mailing Address - Street 1:421 BROAD ST STE 203
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1559
Mailing Address - Country:US
Mailing Address - Phone:412-749-4949
Mailing Address - Fax:
Practice Address - Street 1:421 BROAD ST STE 203
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1559
Practice Address - Country:US
Practice Address - Phone:412-749-4949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW019378251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health