Provider Demographics
NPI:1184845869
Name:PREISLER-HAUSMANN, LINDA (MA, CCC-SP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:PREISLER-HAUSMANN
Suffix:
Gender:F
Credentials:MA, CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2843 S BAYSHORE DR APT 4D
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6021
Mailing Address - Country:US
Mailing Address - Phone:305-446-6870
Mailing Address - Fax:305-585-1183
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:TR 491
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-1260
Practice Address - Fax:305-585-1183
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 1513235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist