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NPI Code Detail

MEDICARE: MRS. LINDA EDLY MEAD MA

MEDICARE: MRS. LINDA EDLY MEAD MA
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
1235Z00000XSpeech-Language PathologistSP3184OH

General Provider Information

NPI Number : 1144347873
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA EDLY MEAD MA
Provider Business Mailing Address
First Line : 3731 RED OAK CT
Second Line :
City : DAYTON
State : OH
Zip : 45430-2403
Country : US
Telephone Number : 937-426-3540
Fax Number :
Provider Business Practice Location Address
First Line : 15 SOUTHMOOR CIR NE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2451
Country : US
Telephone Number : 937-293-7877
Fax Number : 937-293-0296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. LINDA EDLY MEAD MA” Practice Location

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