| |
7115 Southpoint Pkwy Ste 5107, Brentwood, TN 37027-2005 | |
(419) 494-2545 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 7115 Southpoint Pkwy Ste 5107, Brentwood, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043939598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
7115 Southpoint Pkwy Ste 5107, Brentwood, TN 37027-2005 Ph: (419) 494-2545 | 7115 Southpoint Pkwy Ste 5107, Brentwood, TN 37027-2005 Ph: (419) 494-2545 |