Healthcare Provider Details

I. General information

NPI: 1801800875
Provider Name (Legal Business Name): LINDA L AUTHER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 11/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 24TH AVE S AUDIOLOGY & SPEECH PATHOLOGY SERVICE (126)
NASHVILLE TN
37212-2637
US

IV. Provider business mailing address

1310 24TH AVE S AUDIOLOGY & SPEECH PATHOLOGY SERVICE (126)
NASHVILLE TN
37212-2637
US

V. Phone/Fax

Practice location:
  • Phone: 615-873-6068
  • Fax: 615-873-6141
Mailing address:
  • Phone: 615-372-4751
  • Fax: 615-321-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2201000343
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: