Individual
MRS. DEIDRE DAWN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
2865 E MAIN ST, HUMBOLDT, TN 38343-3070
(731) 784-8405
Mailing address
5 HUGHES LOOP, MILAN, TN 38358-5504
(731) 414-1086
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8313
TN
Other
Enumeration date
09/11/2023
Last updated
09/12/2023
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