Provider Demographics
NPI:1154775773
Name:BECHTOL, LINDA S (SLP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:BECHTOL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 E MISSISSIPPI AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-1608
Mailing Address - Country:US
Mailing Address - Phone:303-777-5580
Mailing Address - Fax:303-552-2064
Practice Address - Street 1:535 E MISSISSIPPI AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-1608
Practice Address - Country:US
Practice Address - Phone:303-777-5580
Practice Address - Fax:303-552-2064
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000761235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0000761OtherSLP LICENSE#