Provider Demographics
NPI:1306189139
Name:ANDLIG, MAYA LINNEA (MSW)
Entity Type:Individual
Prefix:MS
First Name:MAYA
Middle Name:LINNEA
Last Name:ANDLIG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker