Individual
REGINA L. JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3180 PROFESSIONAL PLZ, 101, GERMANTOWN, TN 38138-7915
(901) 755-3211
Mailing address
1754 RIVER PARK CV, GERMANTOWN, TN 38139-3357
(901) 755-3211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
871
TN
Other
Enumeration date
07/17/2008
Last updated
08/11/2016
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