Provider Demographics
NPI:1306000278
Name:FLYNTZ RUBIN, LINDA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:FLYNTZ RUBIN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:M
Other - Last Name:FLYNTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:BOICEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12412-0207
Mailing Address - Country:US
Mailing Address - Phone:845-657-4305
Mailing Address - Fax:
Practice Address - Street 1:1 EUGENE L BROWN DR
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-3942
Practice Address - Country:US
Practice Address - Phone:845-255-4274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010636-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist