Provider Demographics
NPI:1073899126
Name:D'AQUINO, LINDA GALE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:GALE
Last Name:D'AQUINO
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 1:4 RICH DR
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4621
Mailing Address - Country:US
Mailing Address - Phone:845-298-8457
Mailing Address - Fax:
Practice Address - Street 1:18 S PERRY ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3011
Practice Address - Country:US
Practice Address - Phone:845-451-4630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009948-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist