MEDICARE: MRS. LINDA P RUBIO MSC, SLP-CCC

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	441	AL

General Provider Information

NPI Number	:	1548347099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA P RUBIO MSC, SLP-CCC

Provider Business Mailing Address
First Line	:	2101 EXECUTIVE PARK DR
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-6041
Country	:	US
Telephone Number	:	334-749-0146
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 EXECUTIVE PARK DR
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-6041
Country	:	US
Telephone Number	:	334-749-0146
Fax Number	:

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

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Directions to “ MRS. LINDA P RUBIO MSC, SLP-CCC” Practice Location

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