Provider Demographics
NPI:1386166619
Name:BRICKLER, LINDA DENISE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:DENISE
Last Name:BRICKLER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5019 WOODEN SHOE HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45232-1627
Mailing Address - Country:US
Mailing Address - Phone:513-325-8254
Mailing Address - Fax:
Practice Address - Street 1:7900 WERNER AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3183
Practice Address - Country:US
Practice Address - Phone:513-619-8265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-07
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP3615235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist