Provider Demographics
NPI:1801869516
Name:ABNER, LINDA S (CCC/SLP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:ABNER
Suffix:
Gender:F
Credentials: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:PO BOX 1059
Mailing Address - Street 2:440 WASHINGTON STREET
Mailing Address - City:STANTON
Mailing Address - State:KY
Mailing Address - Zip Code:40380-1059
Mailing Address - Country:US
Mailing Address - Phone:606-663-5771
Mailing Address - Fax:606-663-5650
Practice Address - Street 1:440 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:KY
Practice Address - Zip Code:40380-2048
Practice Address - Country:US
Practice Address - Phone:606-663-5771
Practice Address - Fax:606-663-5650
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0937235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist