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Individual

MRS. LINDA LEE NIEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4510 N 37TH AVE # AVE85019, PHOENIX, AZ 85019-3206
(602) 336-2990
Mailing address
3119 W LUCIA DR, PHOENIX, AZ 85085-5881
(480) 242-1835

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD5175
AZ
235Z00000X
Speech-Language Pathologist
SLPL5285
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171128
AZ
Enumeration date
01/31/2007
Last updated
09/11/2025
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