Provider Demographics
NPI:1174731376
Name:HIMLER, LINDA EDWARDS (AUD, CCC-A, FAAA/ABA)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:EDWARDS
Last Name:HIMLER
Suffix:
Gender:F
Credentials:AUD, CCC-A, FAAA/ABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 OLD CHAIN BRIDGE RD STE 185
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3945
Mailing Address - Country:US
Mailing Address - Phone:703-942-8110
Mailing Address - Fax:703-942-8042
Practice Address - Street 1:46045 PALISADE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:POTOMAC FALLS
Practice Address - State:VA
Practice Address - Zip Code:20165-8762
Practice Address - Country:US
Practice Address - Phone:703-723-9672
Practice Address - Fax:703-724-0127
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2101000599237600000X, 237700000X
VA2201000365231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAQ37135A827OtherMEDICARE