Provider Demographics
NPI:1235310897
Name:CULLEN, LINDA KREIN (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:KREIN
Last Name:CULLEN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 FALL BROOK DR
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-2291
Mailing Address - Country:US
Mailing Address - Phone:508-962-6807
Mailing Address - Fax:
Practice Address - Street 1:2201 GAR HWY
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-3924
Practice Address - Country:US
Practice Address - Phone:508-962-6807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4916235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist