Provider Demographics
NPI:1245651553
Name:JONES, LINDA COUGHLIN (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:COUGHLIN
Last Name:JONES
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:COUGHLIN
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:5504 3 MILE RD
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:WI
Mailing Address - Zip Code:53406-1102
Mailing Address - Country:US
Mailing Address - Phone:414-339-0554
Mailing Address - Fax:
Practice Address - Street 1:5504 3 MILE RD
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:WI
Practice Address - Zip Code:53406-1102
Practice Address - Country:US
Practice Address - Phone:414-339-0554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-04
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4259154235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist