Provider Demographics
NPI:1164557948
Name:CHLIPALA, LINDA LEE (PHD, CCC,SLP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LEE
Last Name:CHLIPALA
Suffix:
Gender:F
Credentials:PHD, CCC,SLP
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:LINDA
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC,SLP
Mailing Address - Street 1:3004 OVERLAND TRL
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-4522
Mailing Address - Country:US
Mailing Address - Phone:903-271-7585
Mailing Address - Fax:
Practice Address - Street 1:6717 ELDORADO PKWY STE 110
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5734
Practice Address - Country:US
Practice Address - Phone:214-585-0584
Practice Address - Fax:214-585-0586
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35100103TC0700X, 103G00000X
TX11373235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11373OtherSTATE ID