Provider Demographics
NPI:1750565206
Name:GARRITY, LINDA LEE (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LEE
Last Name:GARRITY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 WEST ST
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-3737
Mailing Address - Country:US
Mailing Address - Phone:781-837-6194
Mailing Address - Fax:
Practice Address - Street 1:65 CORDAGE PARK CIR
Practice Address - Street 2:SUITE 105
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-7322
Practice Address - Country:US
Practice Address - Phone:508-747-4720
Practice Address - Fax:508-830-1078
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2976235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2976OtherSTATE LICENSE