Provider Demographics
NPI:1154564292
Name:CADAVID, LINDA KAROL (MA, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:KAROL
Last Name:CADAVID
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3201
Mailing Address - Country:US
Mailing Address - Phone:646-236-9862
Mailing Address - Fax:347-275-3574
Practice Address - Street 1:3131 FAIRFIELD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3201
Practice Address - Country:US
Practice Address - Phone:646-236-9862
Practice Address - Fax:347-275-3574
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013674235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist