Individual
ELLIOT COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 EXECUTIVE PARK DR, HENDERSONVILLE, TN 37075-3450
(615) 994-8430
Mailing address
PO BOX 1637, SPRINGFIELD, TN 37172-1637
(615) 988-4552
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7517
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7517
STATE OF TN
TN
Enumeration date
05/02/2022
Last updated
05/02/2022
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