Individual
MR. PATRICK JONATHAN HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
CORNER OF LAMONT AND VETERANS' WAY, 126, MOUNTAIN HOME, TN 37684-4000
(423) 979-2750
Mailing address
PO BOX 4000, 126, MOUNTAIN HOME, TN 37684-4000
(423) 979-2750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2800
TN
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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