Provider Demographics
NPI:1306362694
Name:KEESEE, LINDA LEE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LEE
Last Name:KEESEE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 W SPRING CREEK PKWY APT 1324
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-3842
Mailing Address - Country:US
Mailing Address - Phone:1214-529-0874
Mailing Address - Fax:
Practice Address - Street 1:3801 W SPRING CREEK PKWY APT 1324
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-3842
Practice Address - Country:US
Practice Address - Phone:214-529-0874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13976235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist