Healthcare Provider Details

I. General information

NPI: 1306033543
Provider Name (Legal Business Name): LINDA L. MCCOY AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2007
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4530 E SHEA BLVD STE 180
PHOENIX AZ
85028-6042
US

IV. Provider business mailing address

4530 E SHEA BLVD STE 180
PHOENIX AZ
85028-6042
US

V. Phone/Fax

Practice location:
  • Phone: 602-264-4834
  • Fax:
Mailing address:
  • Phone: 602-944-4462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberDA1328
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: