Doctor Name: | LINDA J SHENK |
NPI Number: | 1154530186 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SLP1213 |
Business Practice Address: | 1010 E 10th St Tucson, AZ - 857195813 |
Business Phone Number: | 5202252800 |
Business Fax Number: | |
Mailing Address: | 4252 E 6th St, TUCSON |
State: | AZ |
Postal Code: | 857111921 |
Phone Number: | 5209550450 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP1213 |
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 |