Provider Demographics
NPI:1194035345
Name:BECK, LINDA G (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:G
Last Name:BECK
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 N. CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:N. VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580
Mailing Address - Country:US
Mailing Address - Phone:516-285-8310
Mailing Address - Fax:
Practice Address - Street 1:1835 N. CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:N/. VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580
Practice Address - Country:US
Practice Address - Phone:516-285-8310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015005235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist