Individual
KATIE REBECCA BROADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2929 TAZEWELL PIKE, KNOXVILLE, TN 37918-1874
(615) 614-8833
(502) 805-1511
Mailing address
DEPT OF SPEECH PATHOLOGY & AUDIOLOGY, BOX 3887-DUMC, DURHAM, NC 27710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12375
NC
235Z00000X
Speech-Language Pathologist
Primary
8942
TN
Other
Enumeration date
07/25/2017
Last updated
11/06/2024
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