Provider Demographics
NPI:1376086041
Name:APPLE, LINDA (MS-CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:APPLE
Suffix:
Gender:F
Credentials:MS-CCC/SLP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:GUTOWSKI
Other - Last Name:APPLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS-CCC/SLP
Mailing Address - Street 1:660 WEST 236TH STREET
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463
Mailing Address - Country:US
Mailing Address - Phone:914-796-8845
Mailing Address - Fax:
Practice Address - Street 1:660 W 236TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1302
Practice Address - Country:US
Practice Address - Phone:718-796-8845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY58006431235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist