Individual
MARY COLONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2120 MAE DELL RD, CHATTANOOGA, TN 37421-2455
(423) 622-1551
Mailing address
PO BOX 8114, CHATTANOOGA, TN 37414-0114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6871
TN
Other
Enumeration date
10/26/2020
Last updated
04/27/2022
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