Provider Demographics
NPI:1275934739
Name:EMERSON, LINDA (SLPA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:EMERSON
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 MCGARIGLE RD
Mailing Address - Street 2:
Mailing Address - City:SEDRO WOOLLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98284-9263
Mailing Address - Country:US
Mailing Address - Phone:360-421-7230
Mailing Address - Fax:360-856-2618
Practice Address - Street 1:780 COOK RD
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-4341
Practice Address - Country:US
Practice Address - Phone:360-855-3565
Practice Address - Fax:360-855-3567
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASP604694712355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant