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Organization

THERAPY SUCCESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ASHLEY R FOWLER MCD, CCC-SLP (REGISTERED AGENT/THERAPIST)
(901) 596-2747
Entity
Organization

Contact information

Practice address
5120 FOGGY RIVER LN, BARTLETT, TN 38135-6261
(901) 596-2747
(901) 207-7189
Mailing address
5120 FOGGY RIVER LN, BARTLETT, TN 38135-6261
(901) 596-2747
(901) 207-7189

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP4043
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629328562
MEDICARE
TN
01
Q004861
TENNESSEE TENNCARE/MEDICAID
TN
05
Q004861
TN
Enumeration date
09/19/2012
Last updated
01/19/2016
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