Doctor Name: | MS. LINDA SUSAN YBORRA |
NPI Number: | 1578756102 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL000938L |
Business Practice Address: | 8833 Stenton Ave Wyndmoor, PA - 190388319 |
Business Phone Number: | 2158362100 |
Business Fax Number: | 2158365410 |
Mailing Address: | 8833 Stenton Ave, WYNDMOOR |
State: | PA |
Postal Code: | 190388319 |
Phone Number: | 2158362100 |
Fax Number: | 2158365410 |
NPI Enumeration Date: | 08/27/2007 |
NPI Last Update Date: | 08/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL000938L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |