Individual
MRS. KATIE ELISE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
109 BUTTONWOOD DR, SMYRNA, TN 37167-4841
(615) 788-3365
Mailing address
109 BUTTONWOOD DR, SMYRNA, TN 37167-4841
(615) 788-3365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4322
TN
Other
Enumeration date
10/25/2012
Last updated
01/30/2015
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