Provider Demographics
NPI:1073710091
Name:KURLAND, LINDA ROBERTS (SLP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:ROBERTS
Last Name:KURLAND
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 RIM ROCK RD
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:TX
Mailing Address - Zip Code:76008-3914
Mailing Address - Country:US
Mailing Address - Phone:314-780-5269
Mailing Address - Fax:
Practice Address - Street 1:126 RIM ROCK RD
Practice Address - Street 2:
Practice Address - City:ALEDO
Practice Address - State:TX
Practice Address - Zip Code:76008-3914
Practice Address - Country:US
Practice Address - Phone:314-780-5269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12488235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist