Individual
SONYA LE ANN HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5250 WEST ANDREW JOHNSON HWY, MORRISTOWN, TN 37814
(423) 318-7800
Mailing address
1836 MARSHALL DR, BYBEE, TN 37713-2859
(423) 613-5743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 2115
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4136302
BCBS PROVIDER NUMBER
TN
05
—
5440981
—
TN
Enumeration date
03/13/2007
Last updated
07/08/2007
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