Doctor Name: | MRS. LINDA THRESHER GRIMES |
NPI Number: | 1033241948 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SLPL5408 |
Business Practice Address: | 3274 S Naco Hwy Bisbee, AZ - 856036344 |
Business Phone Number: | 8028399890 |
Business Fax Number: | 5205152985 |
Mailing Address: | 3274 S Naco Hwy, BISBEE |
State: | AZ |
Postal Code: | 856036344 |
Phone Number: | 8028399890 |
Fax Number: | 5205152985 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLPL5408 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |