Individual
CHEYENNA SKY FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2030 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804-5285
(865) 982-3400
Mailing address
PO BOX 5209, MARYVILLE, TN 37802-5209
(865) 982-3400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7804
TN
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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