Individual
MRS. TRACIE C MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
300 STONECREST BLVD, STE 375, SMYRNA, TN 37167
(615) 220-5796
(615) 220-8829
Mailing address
2887 A NONAVILLE RD, MOUNT JULIET, TN 37122
(615) 390-8188
(615) 754-9478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3186
TN
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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