Organization
BRIDGEWATER SPEECH & HEARING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY JO BAERMAN AU.D. (PRESIDENT)
(865) 769-0283
Entity
Organization
Contact information
Practice address
103 SUBURBAN RD, SUITE 101D, KNOXVILLE, TN 37923-5586
(865) 769-0283
Mailing address
103 SUBURBAN RD, SUITE 101D, KNOXVILLE, TN 37923-5586
(865) 769-0283
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
0142
TN
231H00000X
Audiologist
Primary
0275
TN
235Z00000X
Speech-Language Pathologist
1278
TN
235Z00000X
Speech-Language Pathologist
2154
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730962
—
TN
Enumeration date
03/01/2007
Last updated
02/07/2018
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