Provider Demographics
NPI:1548492242
Name:HORTON, LINDA OLIVER
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:OLIVER
Last Name:HORTON
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 1:906 S ROSELAWN DR
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-2446
Mailing Address - Country:US
Mailing Address - Phone:901-634-5410
Mailing Address - Fax:
Practice Address - Street 1:1011 W BARTON AVE
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-2804
Practice Address - Country:US
Practice Address - Phone:870-735-6443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist