Individual
DONNA D CHAUDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
332 EAST SPRINGBROOK DR, SUITE 300, JOHNSON CITY, TN 37604
(423) 483-8588
(734) 827-3858
Mailing address
332 E SPRINGBROOK DR, SUITE 300, JOHNSON CITY, TN 37601-1767
(423) 483-8588
(734) 827-3858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000003345
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000003345
TN STATE LICENSE
TN
01
—
01032035
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
01
—
1487823373
NPI
—
Enumeration date
02/25/2008
Last updated
04/27/2009
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