Individual
LINDA DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(856) 702-6100
(856) 396-0406
Mailing address
108 CENTRE BLVD, SUITE I, MARLTON, NJ 08053-4132
(856) 702-6100
(856) 396-0406
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
000459
CT
231H00000X
Audiologist
Primary
002128-1
NY
231H00000X
Audiologist
AT000679L
PA
Other
Enumeration date
08/06/2007
Last updated
01/17/2011
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