Individual
KATIE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2214 E FAIRVIEW AVE, JOHNSON CITY, TN 37601-2860
(423) 928-6464
Mailing address
1260 GLEN ABBEY WAY, GRAY, TN 37615-5221
(865) 335-5867
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202007547
VA
235Z00000X
Speech-Language Pathologist
Primary
5033
TN
Other
Enumeration date
09/11/2014
Last updated
08/23/2023
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