Individual
LISA MISCHELLE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
466A EASTERN PLAZA SHOPPING CTR, NEWPORT, TN 37821-3108
(423) 623-9997
(423) 623-9909
Mailing address
466A EASTERN PLAZA SHOPPING CTR, NEWPORT, TN 37821-3108
(423) 623-9997
(423) 623-9909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000001620
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100
JOHN DEERE TNCARE
TN
01
—
0103
JOHN DEERE TNCARE
TN
01
—
4106191
BCBS
TN
Enumeration date
08/09/2006
Last updated
07/08/2007
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