Individual
LINDA MCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10640 N 28TH DR, SUITE C-104, PHOENIX, AZ 85029-4527
(602) 626-8851
Mailing address
5330 E CROCUS DR, SCOTTSDALE, AZ 85254-2905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP5305
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159221
—
AZ
Enumeration date
03/08/2007
Last updated
05/29/2013
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