Individual
MS. STACY AMANDA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
809 E EMERALD AVE, NATIONAL HEALTHCARE, KNOXVILLE, TN 37917
(865) 524-7366
(865) 637-4402
Mailing address
3258 THOMAS HILL WAY, KNOXVILLE, TN 37917
(865) 525-3216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3271
TN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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