Individual
LINDA DIANE EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
96 CRAIG ST., STE 112-328, EAST ELLIJAY, GA 30540-8609
(706) 635-8255
(888) 490-2945
Mailing address
96 CRAIG ST., STE 112-328, EAST ELLIJAY, GA 30540-8609
(706) 635-8255
(888) 490-2945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP0000795
CO
235Z00000X
Speech-Language Pathologist
Primary
—
CO
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/22/2013
Last updated
07/19/2022
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