Provider Demographics
NPI:1386897601
Name:CONGER, LINDA HUU (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:HUU
Last Name:CONGER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:HUU
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:14402 S 21ST ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-4745
Mailing Address - Country:US
Mailing Address - Phone:402-292-2789
Mailing Address - Fax:
Practice Address - Street 1:10791 S 72ND ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-3423
Practice Address - Country:US
Practice Address - Phone:402-932-2782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1287235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist