Individual
MRS. LEEANN WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 382-7979
Mailing address
310 LAUREL FALLS CV, EADS, TN 38028-7010
(901) 378-5933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1168
TN
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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