Provider Demographics
NPI:1427174663
Name:ACQUARO, ROXANNE LYNN (MS LCGC)
Entity type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:LYNN
Last Name:ACQUARO
Suffix:
Gender:F
Credentials:MS LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 PENN AVE
Mailing Address - Street 2:AOB SUITE 1300
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1334
Mailing Address - Country:US
Mailing Address - Phone:412-692-8738
Mailing Address - Fax:412-692-6504
Practice Address - Street 1:4401 PENN AVE
Practice Address - Street 2:AOB SUITE 1300
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1334
Practice Address - Country:US
Practice Address - Phone:412-692-8738
Practice Address - Fax:412-692-6504
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAGC000105170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS