Individual
LILY ELIZABETH WALLJASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1215 21ST AVE S, NASHVILLE, TN 37232-0014
(615) 936-3963
Mailing address
1715 COCKRILL ST, NASHVILLE, TN 37208-2012
(608) 354-4192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7354
TN
Other
Enumeration date
02/21/2022
Last updated
02/04/2025
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