Individual
REBEKAH ANN KEITH GHAWALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
2435 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2910
(423) 566-8283
(423) 563-5873
Mailing address
2435 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2910
(423) 566-8283
(423) 563-5873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6850
TN
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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