Linda Allen

Individual provider Active NPI Speech-Language Pathologist · Meridian, MS

NPI 1861925505 · NPPES record last updated Apr 10, 2017

Key facts

NPI
1861925505
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S2046 (MS)
Practice address
2218 41St St
Meridian, MS 39305-3321
Phone
(601) 917-8912
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
S2046MSMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S2046 MS Yes

Addresses

Primary practice location

2218 41St St
Meridian, MS 39305-3321

Mailing address

2218 41St St
Meridian, MS 39305-3321
Phone (601) 917-8912

Other identifiers

IdentifierTypeStateIssuer
S2046OtherMSMS DEPT. OF HEALTH

Other providers in Meridian, MS

All providers in Meridian, MS · Speech-Language Pathologist in Mississippi

Sources for this page

Verify at the official NPI Registry.