Individual
MRS. HALEY TRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
65 RIDGECREST RD, JACKSON, TN 38305-2359
(731) 668-6076
Mailing address
65 RIDGECREST RD, JACKSON, TN 38305-2359
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7330
TN
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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