Organization
FOOTHILLS LANGUAGE AND FEEDING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TERRY MPH, MS, RD, CCC-SLP (SOLE MEMBER)
(404) 387-3380
Entity
Organization
Contact information
Practice address
1878 SOUTHCLIFF DR, MARYVILLE, TN 37803-7520
(404) 387-3380
Mailing address
1878 SOUTHCLIFF DR, MARYVILLE, TN 37803-7520
(404) 387-3380
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SP0000005184
TN
261QH0700X
Hearing and Speech Clinic/Center
SP0000005184
TN
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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