Organization
THE SPEECH AND HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR BOSTWICK (PRESIDENT/CEO)
(423) 320-3834
Entity
Organization
Contact information
Practice address
2212 ENCOMPASS DR STE 148, CHATTANOOGA, TN 37421-1577
(423) 622-6900
(423) 622-4834
Mailing address
2212 ENCOMPASS DR STE 148, CHATTANOOGA, TN 37421-1577
(423) 622-6900
(423) 622-4834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
Primary
1313
TN
231H00000X
Audiologist
AUD003693
GA
235Z00000X
Speech-Language Pathologist
SLP001410
GA
235Z00000X
Speech-Language Pathologist
SP0000000667
TN
235Z00000X
Speech-Language Pathologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G700326
MEDICARE
TN
01
—
2006365
BCBST PROVIDER ID #
TN
01
—
4640001
UNITEDHEALTHCARE ID#
TN
Enumeration date
07/25/2006
Last updated
04/08/2021
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