1932476926 NPI number — REBECCA HARVEY LINKE SPEECH LANGUAGE PATH

Table of content: REBECCA HARVEY LINKE SPEECH LANGUAGE PATH (NPI 1932476926)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932476926 NPI number — REBECCA HARVEY LINKE SPEECH LANGUAGE PATH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LINKE
Provider First Name:
REBECCA
Provider Middle Name:
HARVEY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
SPEECH LANGUAGE PATH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932476926
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2700 YONKERS ST
Provider Second Line Business Mailing Address:
2700 YONKERS ST
Provider Business Mailing Address City Name:
PLAINVIEW
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79072
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-293-2636
Provider Business Mailing Address Fax Number:
806-296-5804

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2700 YONKERS ST
Provider Second Line Business Practice Location Address:
2700 YONKERS ST
Provider Business Practice Location Address City Name:
PLAINVIEW
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79072-1826
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-293-2636
Provider Business Practice Location Address Fax Number:
806-296-5804
Provider Enumeration Date:
11/19/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  16074 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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