Doctor Name: | LINDA RAE SHARP |
NPI Number: | 1225197536 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 4359 |
Business Practice Address: | 8115 E Indian Bend Rd Suite 123 Scottsdale, AZ - 852504819 |
Business Phone Number: | 4809516454 |
Business Fax Number: | |
Mailing Address: | 1102 N Forest, MESA |
State: | AZ |
Postal Code: | 852035118 |
Phone Number: | 4804618990 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4359 |
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 |