Organization
SPEECH LANGUAGE AND READING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN H OVERBY MA CCC SLP (PRESIDENT)
(423) 282-1700
Entity
Organization
Contact information
Practice address
208 SUNSET DRIVE, JOHNSON CITY, TN 37604-2521
(423) 282-1700
(423) 282-9319
Mailing address
208 SUNSET DRIVE, JOHNSON CITY, TN 37604-2521
(423) 282-1700
(423) 282-9319
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4074503
BLUE CROSS BLUE SHIELD
—
01
—
4176442
BLUE CROSS BLUE SHIELD
—
01
—
4176905
BLUE CROSS BLUE SHIELD
—
01
—
4178294
BLUE CROSS BLUE SHIELD
—
01
—
4178676
BLUE CROSS BLUE SHIELD
—
05
—
5442113
—
TN
Enumeration date
06/17/2008
Last updated
06/17/2008
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