Individual
LYDIA PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
380 AZALEA DR, SOMERVILLE, TN 38068-6913
(901) 490-8410
Mailing address
380 AZALEA DR, SOMERVILLE, TN 38068-6913
(901) 490-8410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4896
TN
Other
Enumeration date
12/01/2016
Last updated
05/16/2022
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