Provider Demographics
NPI:1255401808
Name:TYLER, LINDA E (SLP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:E
Last Name:TYLER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:E
Other - Last Name:RUHAAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:1305 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-0401
Mailing Address - Country:US
Mailing Address - Phone:605-333-7188
Mailing Address - Fax:605-333-1585
Practice Address - Street 1:1305 W 18TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-0401
Practice Address - Country:US
Practice Address - Phone:605-333-7188
Practice Address - Fax:605-333-1585
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist