Provider Demographics
NPI:1952575938
Name:LOWE, LINDA F
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:F
Last Name:LOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:LOWE
Other - Last Name:PIAZZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:105 LONGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-5705
Mailing Address - Country:US
Mailing Address - Phone:601-924-1624
Mailing Address - Fax:601-924-5383
Practice Address - Street 1:105 LONGWOOD DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-5705
Practice Address - Country:US
Practice Address - Phone:601-924-1624
Practice Address - Fax:601-924-5383
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-21
Last Update Date:2008-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS0054235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00114149Medicaid