Individual
MS. LINDA ANN LEBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
421 MCARTHUR DR, LAS CRUCES, NM 88001-5961
(505) 463-2790
(505) 645-7065
Mailing address
421 MCARTHUR DR, LAS CRUCES, NM 88001-5961
(505) 463-2790
(505) 645-7065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
588
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4502
—
NM
Enumeration date
12/17/2006
Last updated
07/09/2007
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