Provider Demographics
NPI:1558197715
Name:MURALLES, LINDA
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:MURALLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 E MCKINNEY ST
Mailing Address - Street 2:
Mailing Address - City:NEOSHO
Mailing Address - State:MO
Mailing Address - Zip Code:64850-1916
Mailing Address - Country:US
Mailing Address - Phone:417-658-5747
Mailing Address - Fax:
Practice Address - Street 1:935 BUCHANAN RD
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-9668
Practice Address - Country:US
Practice Address - Phone:417-334-6511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant