Individual
KATELYNN DANIELLE HUCKABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2435 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2910
(423) 566-8283
Mailing address
2435 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2910
(423) 566-8283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7591
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7281
LICENSE
TN
Enumeration date
08/22/2022
Last updated
08/22/2022
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