Provider Demographics
NPI:1801916028
Name:LINEBAUGH, ANGELA JANE (MA, ATR-BC, LPC)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:JANE
Last Name:LINEBAUGH
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 3RD AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-1907
Mailing Address - Country:US
Mailing Address - Phone:717-873-3084
Mailing Address - Fax:717-219-5949
Practice Address - Street 1:77 SHOE HOUSE RD
Practice Address - Street 2:
Practice Address - City:HELLAM
Practice Address - State:PA
Practice Address - Zip Code:17406-8025
Practice Address - Country:US
Practice Address - Phone:717-755-1033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001191101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC001191OtherLPC