Provider Demographics
NPI:1386399210
Name:BILLMAN, LINDA (SLP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:BILLMAN
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 1:11717 FRAZIER LN
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-5203
Mailing Address - Country:US
Mailing Address - Phone:817-253-7807
Mailing Address - Fax:
Practice Address - Street 1:309 N PEARSON ST
Practice Address - Street 2:
Practice Address - City:GODLEY
Practice Address - State:TX
Practice Address - Zip Code:76044-3738
Practice Address - Country:US
Practice Address - Phone:817-529-4360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12080235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty