Doctor Name: | MS. LINDA SUSAN DAVIDSON |
NPI Number: | 1215244082 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,CCC,SLP,PC |
License Number: | 011448 |
Business Practice Address: | 3265 Johnson Ave Suite 208 Bronx, NY - 104633539 |
Business Phone Number: | 9173014803 |
Business Fax Number: | |
Mailing Address: | 35 Round Hill Rd, #14c DOBBS FERRY |
State: | NY |
Postal Code: | 105223310 |
Phone Number: | 9173014803 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2010 |
NPI Last Update Date: | 06/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 011448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |