Provider Demographics
NPI:1760750970
Name:DANIEL, LINDA LUCILLE (MS, MA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LUCILLE
Last Name:DANIEL
Suffix:
Gender:F
Credentials:MS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7518 MEADOW OAKS DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-4851
Mailing Address - Country:US
Mailing Address - Phone:972-889-0010
Mailing Address - Fax:214-350-3439
Practice Address - Street 1:7518 MEADOW OAKS DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-4851
Practice Address - Country:US
Practice Address - Phone:972-889-0010
Practice Address - Fax:214-350-3439
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50721231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist