Organization
GREAT ADVENTURES THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARITI SKINNER M.S. CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(615) 516-1702
Entity
Organization
Contact information
Practice address
12854 PECOS RD, KNOXVILLE, TN 37934-0884
(615) 516-1702
(865) 674-5447
Mailing address
12854 PECOS RD, KNOXVILLE, TN 37934-0884
(615) 516-1702
(865) 674-5447
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q152866
—
TN
Enumeration date
07/15/2021
Last updated
07/15/2021
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