Individual
ELIZABETH RADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1900 GRAYBAR LN, NASHVILLE, TN 37215-2110
(615) 690-3091
(615) 292-4941
Mailing address
1900 GRAYBAR LN, NASHVILLE, TN 37215-2110
(615) 690-3091
(615) 292-4941
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000006017
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6017
SPEECH THERAPY LICENSE IN TN
TN
Enumeration date
05/07/2018
Last updated
05/07/2018
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