Organization
PEDIATRIC LEARNING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MCMAHON KRAUS MA, CCC-SLP (EXECUTIVE DIRECTOR)
(901) 290-8558
Entity
Organization
Contact information
Practice address
8496 WILKINSVILLE RD STE 101-128, MILLINGTON, TN 38053-1546
(901) 290-8558
Mailing address
8496 WILKINSVILLE RD STE 101-128, MILLINGTON, TN 38053-1546
(901) 290-8558
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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