Provider Demographics
NPI:1033281415
Name:GEMAYEL, LINDA CARSON (MS)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CARSON
Last Name:GEMAYEL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 W RAVINE RD
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-3810
Mailing Address - Country:US
Mailing Address - Phone:423-224-5540
Mailing Address - Fax:423-224-5568
Practice Address - Street 1:130 W RAVINE RD
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3810
Practice Address - Country:US
Practice Address - Phone:423-224-5540
Practice Address - Fax:423-224-5568
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA0000000222231H00000X
VA2201000426231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist