MEDICARE: LINDA P. STEWART 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	359	AR

General Provider Information

NPI Number	:	1205094224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA P. STEWART CCC/SLP

Provider Business Mailing Address
First Line	:	7558 CARRIE DR
Second Line	:
City	:	BENTON
State	:	AR
Zip	:	72019-1660
Country	:	US
Telephone Number	:	501-316-1004
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 N POPLAR ST
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72114-2332
Country	:	US
Telephone Number	:	501-771-8000
Fax Number	:

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

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	05/27/2008

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Directions to “ LINDA P. STEWART CCC/SLP” Practice Location

Language	Start Address	Practice Location

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