Organization
SPEECH PATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN S. FINE SLP (SOLE PROPRIETOR)
(865) 705-8688
Entity
Organization
Contact information
Practice address
1001 GLENNSHIRE DR, KNOXVILLE, TN 37923-1958
(865) 705-8688
Mailing address
1001 GLENNSHIRE DR, KNOXVILLE, TN 37923-1958
(865) 705-8688
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000002724
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4166781
BCBST
TN
05
—
5441005
—
TN
Enumeration date
01/05/2007
Last updated
07/29/2013
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