Provider Demographics
NPI:1255576070
Name:DICHIARA, LINDA (MS,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:DICHIARA
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 1:2735 NATTA BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-3217
Mailing Address - Country:US
Mailing Address - Phone:516-521-0277
Mailing Address - Fax:
Practice Address - Street 1:2735 NATTA BLVD
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-3217
Practice Address - Country:US
Practice Address - Phone:516-521-0277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019523235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist