Individual
TRACEY OUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
932 E BADDOUR PKWY, LEBANON, TN 37087-3700
(615) 496-4914
Mailing address
5551 W SHADY TRL, OLD HICKORY, TN 37138-1319
(615) 496-4914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1340
TN
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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