Provider Demographics
NPI:1689954976
Name:CONNICK, LINDA JIMERSON (HAS)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JIMERSON
Last Name:CONNICK
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
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Mailing Address - Street 1:662 HARBOR BLVD
Mailing Address - Street 2:STE 140
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-2473
Mailing Address - Country:US
Mailing Address - Phone:850-243-3196
Mailing Address - Fax:850-243-8294
Practice Address - Street 1:798 DOWNTOWNER BLVD
Practice Address - Street 2:STE A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5424
Practice Address - Country:US
Practice Address - Phone:251-316-0960
Practice Address - Fax:251-316-0970
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2013-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL4136237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter