Doctor Name: | MRS. LINDA C WELLS |
NPI Number: | 1851628093 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP, CBIS |
License Number: | 12017445(ASHA#) |
Business Practice Address: | 3181 Sandhill Rd Mason, MI - 488549425 |
Business Phone Number: | 5173366060 |
Business Fax Number: | 5173366050 |
Mailing Address: | 3181 Sandhill Rd, MASON |
State: | MI |
Postal Code: | 488549425 |
Phone Number: | 5173366060 |
Fax Number: | 5173366050 |
NPI Enumeration Date: | 11/09/2009 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12017445(ASHA#) |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |