Provider Demographics
NPI:1134221849
Name:CONLEY-COX, LINDA (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:CONLEY-COX
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 1:509 BUTLER RD
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-6108
Mailing Address - Country:US
Mailing Address - Phone:828-248-1214
Mailing Address - Fax:828-247-8828
Practice Address - Street 1:509 BUTLER RD
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-6108
Practice Address - Country:US
Practice Address - Phone:828-248-1214
Practice Address - Fax:828-247-8828
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5989235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7412520Medicaid