MEDICARE: MISS LINDA KAROL CADAVID 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	013674	NY

General Provider Information

NPI Number	:	1154564292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LINDA KAROL CADAVID M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	3131 FAIRFIELD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-3201
Country	:	US
Telephone Number	:	646-236-9862
Fax Number	:	347-275-3574

Provider Business Practice Location Address
First Line	:	3131 FAIRFIELD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-3201
Country	:	US
Telephone Number	:	646-236-9862
Fax Number	:	347-275-3574

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

Provider Enumeration Date	:	04/17/2009
Last Update Date	:	04/17/2009

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Directions to “ MISS LINDA KAROL CADAVID M.A., CCC-SLP” Practice Location

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