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NPI Code Detail

MEDICARE: LINDA SELL CCC/SLP

MEDICARE:   LINDA  SELL  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
1235Z00000XSpeech-Language Pathologist18740TX

General Provider Information

NPI Number : 1992991616
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA SELL CCC/SLP
Provider Business Mailing Address
First Line : 522 WOODHILL CT
Second Line :
City : GRAPEVINE
State : TX
Zip : 76051-4400
Country : US
Telephone Number : 817-690-8161
Fax Number :
Provider Business Practice Location Address
First Line : 3051 IRA E WOODS AVE
Second Line :
City : GRAPEVINE
State : TX
Zip : 76051-3817
Country : US
Telephone Number : 817-251-5735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2007
Last Update Date : 03/03/2022

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Directions to “ LINDA SELL CCC/SLP” Practice Location

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