Individual
MS. LISA A SPELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCCL SLP
Contact information
Practice address
611 NORTH FIFTH ST, NASHVILLE, TN 37207-5812
(615) 226-1265
(877) 235-2914
Mailing address
611 NORTH FIFTH ST, NASHVILLE, TN 37207-5812
(615) 226-1265
(877) 235-2914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0000001649
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446680
—
TN
01
—
4100212
BCBST
TN
Enumeration date
08/04/2006
Last updated
07/08/2007
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