Individual
ELISSA NORRIS-ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2030 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804-5285
(865) 982-3400
(865) 982-3410
Mailing address
PO BOX 5029, MARYVILLE, TN 37802-5029
(865) 982-3400
(865) 982-3410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4696
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12081558
ASHA
—
Enumeration date
01/23/2012
Last updated
04/16/2012
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