Provider Demographics
NPI:1548663701
Name:LINDAMOOD, ALAINA RUTH (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:RUTH
Last Name:LINDAMOOD
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:EAST FULTONHAM
Mailing Address - State:OH
Mailing Address - Zip Code:43735-0039
Mailing Address - Country:US
Mailing Address - Phone:740-408-3873
Mailing Address - Fax:
Practice Address - Street 1:10397 STATE ROUTE 155 SE
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:OH
Practice Address - Zip Code:43730-9710
Practice Address - Country:US
Practice Address - Phone:740-721-0520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-02
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14063133235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist