Provider Demographics
NPI:1972897163
Name:WALKER, LINDA MATHIS (MCD,CCC,SLP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MATHIS
Last Name:WALKER
Suffix:
Gender:F
Credentials:MCD,CCC,SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7892 BRIARCREEK RD W
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-5262
Mailing Address - Country:US
Mailing Address - Phone:850-544-5090
Mailing Address - Fax:
Practice Address - Street 1:127 HONORS ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32306-0001
Practice Address - Country:US
Practice Address - Phone:850-645-1477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-05
Last Update Date:2011-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA3446235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist