Individual
SUSAN VICTORIA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
351 STUMPY LN, LEBANON, TN 37090-5339
(615) 443-4445
(615) 443-4448
Mailing address
163 BUSINESS PARK DR, SUITE 11, LEBANON, TN 37090-1241
(615) 443-4445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4037
TN
Other
Enumeration date
01/11/2012
Last updated
05/11/2016
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