Provider Demographics
NPI:1467242230
Name:ROSSLEY, LINDA ELIZABETH
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:ELIZABETH
Last Name:ROSSLEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 RIDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033-1711
Mailing Address - Country:US
Mailing Address - Phone:610-803-8743
Mailing Address - Fax:
Practice Address - Street 1:2317 E WESTMORELAND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4529
Practice Address - Country:US
Practice Address - Phone:610-803-8743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA21577175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist