Individual
SARAH IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(931) 542-2168
Mailing address
3629 FOX DEN LN, CLARKSVILLE, TN 37040-6254
(325) 370-2366
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
688
TN
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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