Individual
LINDA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2218 41ST ST, MERIDIAN, MS 39305-3321
(601) 917-8912
Mailing address
2218 41ST ST, MERIDIAN, MS 39305-3321
(601) 917-8912
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2046
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S2046
MS DEPT. OF HEALTH
MS
Enumeration date
04/10/2017
Last updated
04/10/2017
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