Provider Demographics
NPI:1326368440
Name:SHENDEROVICH, LINA (MS)
Entity Type:Individual
Prefix:MS
First Name:LINA
Middle Name:
Last Name:SHENDEROVICH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-3440
Mailing Address - Country:US
Mailing Address - Phone:412-849-2136
Mailing Address - Fax:
Practice Address - Street 1:1925 JERSEY AVE
Practice Address - Street 2:
Practice Address - City:TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-3440
Practice Address - Country:US
Practice Address - Phone:412-849-2136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health