Individual
TARA RENAE MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 382-7979
Mailing address
7221 HIGHWAY 70 S APT 223, NASHVILLE, TN 37221-2835
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5901
TN
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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