Most Relevant Information
Provider Data
| NPI Number: | 1003198227 |
| Provider Name: | LINDA MITCHISON M.A., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 007537 |
Most Important Dates
| Enumeration Date: | 09/14/2011 |
| Last Updated: | 09/14/2011 |
Provider Practice Location
73 ROUTE 11A
CRARYVILLE
NY
125215510
Practice Location Phone/Fax
| Phone: | 5183252800 |
| Fax: |
Provider Mailing Location
203 ELLIOT RD
EAST CHATHAM
NY
120603905
Provider Mailing Phone/Fax
| Phone: | 5183920102 |
| Fax: |