Provider Demographics
NPI:1962775312
Name:MATSUDA, LINDA YOUKO (MS, CCC- SLP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:YOUKO
Last Name:MATSUDA
Suffix:
Gender:F
Credentials:MS, CCC- SLP
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Mailing Address - Street 1:120 JOSE FIGUERES AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1528
Mailing Address - Country:US
Mailing Address - Phone:408-272-1400
Mailing Address - Fax:408-272-4695
Practice Address - Street 1:120 JOSE FIGUERES AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1528
Practice Address - Country:US
Practice Address - Phone:408-272-1400
Practice Address - Fax:408-272-4695
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist