in Columbia - Speech-language Pathologist

- NPI 1811047111

is a Speech-language Pathologist in Columbia, Tennessee. practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for is 1811047111. The last update date is .

's current location address is 4009 Park Drive, Columbia, Tennessee. You can contact this provider via phone number 7196602460. The mailing address for is 4009 Park Drive, Columbia, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 4009 Park Drive, Columbia, Tennessee
Phone Number 7196602460
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1811047111
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 4009 Park Drive
City Columbia
State Tennessee (TN)
Post Code 38401
Phone Number 7196602460
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SLP-1213
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
85909751 CO --

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