Provider Demographics
NPI:1538753587
Name:MCAFOOSE, LINNEA ROCHELLE
Entity type:Individual
Prefix:
First Name:LINNEA
Middle Name:ROCHELLE
Last Name:MCAFOOSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2942 E BARDONNER RD
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-8220
Mailing Address - Country:US
Mailing Address - Phone:412-848-5614
Mailing Address - Fax:
Practice Address - Street 1:2942 E BARDONNER RD
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-8220
Practice Address - Country:US
Practice Address - Phone:412-848-5614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-21
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003831L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist