Doctor Name: | MS. LINDA M WYMAN |
NPI Number: | 1649551359 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SP 8919 |
Business Practice Address: | 150 Grand Ave Ste 101 Oakland, CA - 946123726 |
Business Phone Number: | 5104515800 |
Business Fax Number: | |
Mailing Address: | 2753 Chelsea Dr, OAKLAND |
State: | CA |
Postal Code: | 946112505 |
Phone Number: | 5105304094 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2011 |
NPI Last Update Date: | 09/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 8919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |