Linda Cullivan, SLP
Individual provider Active NPI Speech-Language Pathologist · Belen, NM
NPI 1104902261 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104902261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- K0505 (NM)
- Practice address
- 520 N Main St
Belen, NM 87002-3720 - Phone
- (505) 966-1506
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K0505 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belen Consolidated Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | K0505 | NM | Yes |
Addresses
Primary practice location
520 N Main St
Belen, NM 87002-3720
Mailing address
520 N Main St
Belen, NM 87002-3720
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K0505 | Other | NM | REGULATION & LICENSING |
Other providers in Belen, NM
- Charles Hamilton Combs
- Conquistador Dental, LLC
- Diamond Monique Contreras
- Jeremy Cordova
- Rhonda Cox
- Kathryn D'Ancona
- Kay Darter
- David D Schneider MD PC
- David L Wright
- Penny Davidson
All providers in Belen, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.