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Speech, Language and Hearing Service Providers Speech-Language Pathologist

Provider NPI: 1720249956

Provider Information:
Gender: M
Sole Proprietor

Practice Location:
Tel: 615-625-7777  Fax: 615-625-7700

Business Mailing Address:
Tel: 615-625-7777  Fax: 615-625-7700

NPI Information:
NPI: 1720249956
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
Y231H00000XSpeech, Language and Hearing Service Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 231H00000X





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