MEDICARE: LINDA S ABNER 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	0937	KY

General Provider Information

NPI Number	:	1801869516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA S ABNER CCC/SLP

Provider Business Mailing Address
First Line	:	PO BOX 1059
Second Line	:	440 WASHINGTON STREET
City	:	STANTON
State	:	KY
Zip	:	40380-1059
Country	:	US
Telephone Number	:	606-663-5771
Fax Number	:	606-663-5650

Provider Business Practice Location Address
First Line	:	440 WASHINGTON ST
Second Line	:
City	:	STANTON
State	:	KY
Zip	:	40380-2048
Country	:	US
Telephone Number	:	606-663-5771
Fax Number	:	606-663-5650

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

Provider Enumeration Date	:	02/12/2006
Last Update Date	:	07/08/2007

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Directions to “ LINDA S ABNER CCC/SLP” Practice Location

Language	Start Address	Practice Location

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