Individual
MS. MADISON ALEXANDRIA SCHANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
10721 CHAPMAN HWY STE 22, SEYMOUR, TN 37865-4767
(865) 579-2293
(865) 579-2295
Mailing address
10721 CHAPMAN HWY STE 22, SEYMOUR, TN 37865-4767
(865) 579-2293
(865) 579-2295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000006788
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000006788
STATE OF TN DEPT OF HEALTH DIVISION OF HEALTH RELATED BOARDS
TN
Enumeration date
09/17/2020
Last updated
09/17/2020
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