Provider Demographics
NPI:1609130764
Name:STILES, LINDA M (SLP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:M
Last Name:STILES
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:M
Other - Last Name:STILES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:105 CARDINAL AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12209-1105
Mailing Address - Country:US
Mailing Address - Phone:518-894-7119
Mailing Address - Fax:
Practice Address - Street 1:276 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SCHOHARIE
Practice Address - State:NY
Practice Address - Zip Code:12157
Practice Address - Country:US
Practice Address - Phone:518-295-8780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7058268235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist