Individual
BRIDGET DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2929 TAZEWELL PIKE, KNOXVILLE, TN 37918-1874
(615) 614-8833
Mailing address
2929 TAZEWELL PIKE, KNOXVILLE, TN 37918-1874
(615) 614-8833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
TN
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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