Healthcare Provider Details

I. General information

NPI: 1346497765
Provider Name (Legal Business Name): LINDA LEE SEARLE MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA LEE SEARLE-TAYLOR MS CCC-SLP

II. Dates (important events)

Enumeration Date: 08/27/2008
Last Update Date: 03/09/2020
Certification Date: 03/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 NW 100 DR
HOUSTON TX
77092-2051
US

IV. Provider business mailing address

2222 SULLIVAN TRL
EASTON PA
18040-7958
US

V. Phone/Fax

Practice location:
  • Phone: 713-462-6060
  • Fax:
Mailing address:
  • Phone: 214-324-3328
  • Fax: 214-324-3328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number18611
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: