Provider Demographics
NPI:1932476223
Name:INGERSON, LINDA LEIGH (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:LEIGH
Last Name:INGERSON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4036 S BRADY CT
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-7227
Mailing Address - Country:US
Mailing Address - Phone:605-371-1355
Mailing Address - Fax:
Practice Address - Street 1:4036 S BRADY CT
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-7227
Practice Address - Country:US
Practice Address - Phone:605-371-1355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist