Individual
MRS. LINDA CAROL POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
204 NW MOCKINGBIRD RD, LAWTON, OK 73507-1625
(580) 248-2099
(580) 248-6530
Mailing address
204 NW MOCKINGBIRD RD, LAWTON, OK 73507-1625
(580) 248-2099
(580) 248-6530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
788
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01088928
ASHA ACCOUNT NUMBER
OK
Enumeration date
08/31/2006
Last updated
07/09/2007
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