Individual
MR. IRENE FLORENCE BIBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
6169 HICKORY RIDGE RD, LEBANON, TN 37090-8295
(615) 596-5382
(615) 444-7950
Mailing address
6169 HICKORY RIDGE RD, LEBANON, TN 37090
(615) 596-5382
(615) 444-7950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000000854
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000854
STATE LINCENSURE
TN
01
—
4052471
BCBS PROVIDER NUMBER
TN
Enumeration date
03/07/2007
Last updated
07/08/2007
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