Provider Demographics
NPI:1235174350
Name:JINKS, ANDREW FREDERICK (MA, CCC-SLP, ATP)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:FREDERICK
Last Name:JINKS
Suffix:
Gender:M
Credentials:MA, CCC-SLP, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:993 HAZEL DR
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-4317
Mailing Address - Country:US
Mailing Address - Phone:724-863-1281
Mailing Address - Fax:
Practice Address - Street 1:2310 JANE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2362
Practice Address - Country:US
Practice Address - Phone:412-586-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003123L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist