Provider Demographics
NPI:1538604483
Name:NAMY, LINDA SUSAN (MS)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:SUSAN
Last Name:NAMY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 MEETINGHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:WEYBRIDGE
Mailing Address - State:VT
Mailing Address - Zip Code:05753-9799
Mailing Address - Country:US
Mailing Address - Phone:802-989-9902
Mailing Address - Fax:
Practice Address - Street 1:66 MEETINGHOUSE LN
Practice Address - Street 2:
Practice Address - City:WEYBRIDGE
Practice Address - State:VT
Practice Address - Zip Code:05753-9799
Practice Address - Country:US
Practice Address - Phone:802-989-9902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-02
Last Update Date:2017-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT8006844235Z00000X
UT687622235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist