Individual
MRS. JODY ELAINE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
SPEECH CLINIC (126), JAMES H. QUILLEN VAMC, MOUNTAIN HOME, TN 37684
(423) 926-1171
(423) 979-3404
Mailing address
115 JA RAMSEY LN, JONESBOROUGH, TN 37659-6270
(423) 426-2668
(423) 979-3404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3006
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006
STATE LISCENSE
SD
Enumeration date
09/11/2006
Last updated
06/16/2021
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