Individual
ANNIE CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8350 MACON RD, CORDOVA, TN 38018-8554
(901) 614-1902
(901) 614-1902
Mailing address
4944 NORMANDY LN, MEMPHIS, TN 38117
(901) 849-6019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4488
TN
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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