NPI | 1134294952 |
---|---|
Former Name | LINDA JOYCE SHEPARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: NC 1289) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 1288) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-09 |