Provider Demographics
NPI:1922061860
Name:MATES, LINDA APTER (MSS)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:APTER
Last Name:MATES
Suffix:
Gender:F
Credentials:MSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 MONTICELLO DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4837
Mailing Address - Country:US
Mailing Address - Phone:412-372-1467
Mailing Address - Fax:412-372-0902
Practice Address - Street 1:205 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SHARPSBURG
Practice Address - State:PA
Practice Address - Zip Code:15215-2132
Practice Address - Country:US
Practice Address - Phone:412-784-1068
Practice Address - Fax:412-372-0902
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0127491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA266439OtherVALUEOPTIONS
PA027075OtherMANAGED HEALTH NETWORK
PA027075OtherMANAGED HEALTH NETWORK