Individual
JULIE BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1445 E 10TH ST, COOKEVILLE, TN 38501-2017
(931) 372-2567
Mailing address
1445 E 10TH ST, COOKEVILLE, TN 38501-2017
(931) 372-2567
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6964
TN
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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