Individual
SUSAN PURSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
915 CONGRESS PARKWSY, ATHENS, TN 37303
(423) 381-0979
Mailing address
915 CONGRESS PARKWSY, ATHENS, TN 37303
(423) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000002512
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4110461
BCBSTN PROVIDER NUMBER
TN
Enumeration date
05/14/2007
Last updated
12/30/2014
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