Individual
MRS. KATHERINE WYNN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
1321 CEDAR LN, TULLAHOMA, TN 37388-2227
(931) 222-4207
Mailing address
210 LAKE CIRCLE DR, TULLAHOMA, TN 37388-5210
(931) 247-5455
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000003928
TN
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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