Provider Demographics
NPI:1942750161
Name:WRIGHT, LINDA D (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:D
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 TARRANT RD
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-2947
Mailing Address - Country:US
Mailing Address - Phone:205-608-2999
Mailing Address - Fax:205-423-5005
Practice Address - Street 1:474 TARRANT RD
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2947
Practice Address - Country:US
Practice Address - Phone:205-608-2999
Practice Address - Fax:205-423-5005
Is Sole Proprietor?:No
Enumeration Date:2016-10-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0588235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist