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Organization
TELE TN SPEECH THERAPY
Active
Organization
TELE TN SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ROBINSON MS, CCC-SLP (SLP AND MANAGING MEMBER)
(615) 495-7270
Entity
Organization
Contact information
Practice address
113 BEULAH BLVD, PLEASANT VIEW, TN 37146-9790
(615) 802-8280
Mailing address
113 BEULAH BLVD, PLEASANT VIEW, TN 37146-9790
(615) 802-8280
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811425093
MANAGING MEMBER INDIVIDUAL NPI
—
01
—
4668
STATE LICENSE - SLP
TN
Enumeration date
05/13/2020
Last updated
01/28/2021
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