Individual
MR. RAGHUNATH VEDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSCCCSLP
Contact information
Practice address
2075 N GERMANTOWN PKWY, SUITE 108, CORDOVA, TN 38016-1729
(901) 246-6809
Mailing address
8910 ROBY CV, CORDOVA, TN 38016-4092
(901) 246-6809
(901) 202-9088
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012
TN
Other
Enumeration date
07/23/2009
Last updated
02/07/2011
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