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Individual

RHONDA RYAN FORNATARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
615 LONG RIDER LN, CLIFTON, TN 38425-2500
(214) 683-8373
Mailing address
615 LONG RIDER LN, CLIFTON, TN 38425-2500
(214) 683-8373

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
17346
TX
235Z00000X
Speech-Language Pathologist
Primary
9366
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17346
LICENSE
TX
01
9366
LICENSE
TN
Enumeration date
05/07/2007
Last updated
01/15/2026
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