Provider Demographics
NPI:1154673051
Name:CLEMENTS, LINDA WHITE (MA)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:WHITE
Last Name:CLEMENTS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 E CARLETON RD
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-1658
Mailing Address - Country:US
Mailing Address - Phone:517-437-2222
Mailing Address - Fax:517-437-7720
Practice Address - Street 1:38 E CARLETON RD
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1658
Practice Address - Country:US
Practice Address - Phone:517-437-2222
Practice Address - Fax:517-437-7720
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist