Basic Information
| Provider Information | |||||||||
| NPI: | 1407183759 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIMPSON | ||||||||
| FirstName: | LINDA | ||||||||
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| Credential: | M.A. SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21631 26 MILE RD | ||||||||
| Address2: | |||||||||
| City: | RAY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480964305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5867495345 | ||||||||
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| Practice Location | |||||||||
| Address1: | 43239 SCHOENHERR RD | ||||||||
| Address2: | |||||||||
| City: | STERLING HEIGHTS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483131957 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5863232957 | ||||||||
| FaxNumber: | 5863230022 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2009 | ||||||||
| LastUpdateDate: | 11/06/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.