MEDICARE: MS. LINDA LOUISE ANDERSON M.A. CCC SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP 9281	CA

General Provider Information

NPI Number	:	1568690766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA LOUISE ANDERSON M.A. CCC SLP

Provider Business Mailing Address
First Line	:	13 SILKWOOD WAY
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95973-8344
Country	:	US
Telephone Number	:	530-342-0298
Fax Number	:

Provider Business Practice Location Address
First Line	:	2850 SIERRA SUNRISE TER
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-8401
Country	:	US
Telephone Number	:	530-894-1010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2009
Last Update Date	:	06/25/2009

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