Provider Demographics
NPI:1083803597
Name:DAILY, LINDA JENNINGS (MA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JENNINGS
Last Name:DAILY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24012 CALLE DE LA PLATA
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3621
Mailing Address - Country:US
Mailing Address - Phone:800-282-1212
Mailing Address - Fax:949-951-2750
Practice Address - Street 1:24012 CALLE DE LA PLATA
Practice Address - Street 2:SUITE 210
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3621
Practice Address - Country:US
Practice Address - Phone:800-282-1212
Practice Address - Fax:949-951-2750
Is Sole Proprietor?:No
Enumeration Date:2007-10-21
Last Update Date:2007-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU867237600000X
CAHA1958237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter