Individual
DR. CAROL GREENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 BUENA VISTA PL, MEMPHIS, TN 38112-5400
(901) 278-1556
(901) 278-1556
Mailing address
324 BUENA VISTA PL, MEMPHIS, TN 38112-5400
(901) 278-1556
(901) 278-1556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000002855
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00784991
ASHA CERTIFICATION
—
01
—
SP0000002855
LICENSE
TN
01
—
SP481
LICENSE
AR
Enumeration date
12/07/2007
Last updated
12/07/2007
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