Provider Demographics
NPI:1891745444
Name:ENGELMANN, LINDA A (AUD)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:A
Last Name:ENGELMANN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 N CLAYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-1116
Mailing Address - Country:US
Mailing Address - Phone:816-988-2900
Mailing Address - Fax:816-988-2901
Practice Address - Street 1:105 N CLAYVIEW DR
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-1116
Practice Address - Country:US
Practice Address - Phone:816-988-2900
Practice Address - Fax:816-988-2901
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01805237600000X
KS2134237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOK35E260Medicare PIN
KSK35A00001Medicare PIN
MOK35E260Medicare PIN