Individual
MS. LINDA M. BIVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
11316 ACADEMY RIDGE RD NE, ALBUQUERQUE, NM 87111-6886
(505) 463-4149
Mailing address
11316 ACADEMY RIDGE RD NE, ALBUQUERQUE, NM 87111-6886
(505) 463-4149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1282
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J3601
—
NM
Enumeration date
12/19/2006
Last updated
07/09/2007
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