Provider Demographics
NPI:1417698473
Name:LINDER, BRIANA KATHLEEN (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:KATHLEEN
Last Name:LINDER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:KATHLEEN
Other - Last Name:ESSINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4611 S EASTLAND CENTER DR APT 624
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-7806
Mailing Address - Country:US
Mailing Address - Phone:816-379-5026
Mailing Address - Fax:
Practice Address - Street 1:4611 S EASTLAND CENTER DR APT 624
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-7806
Practice Address - Country:US
Practice Address - Phone:816-379-5026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021001185235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist