Individual
PHYADRAGREN SHA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3549 NORRISWOOD AVE, MEMPHIS, TN 38111-5911
(901) 325-7820
Mailing address
3549 NORRISWOOD AVE, MEMPHIS, TN 38111-5911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5808
TN
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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