Individual
STACY SIEGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC/SLP
Contact information
Practice address
728 S JEFFERSON AVE STE 14, COOKEVILLE, TN 38501-4279
(931) 201-9682
(931) 263-7570
Mailing address
3529 BURTON COVE RD, COOKEVILLE, TN 38506-6130
(931) 537-6761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000004428
TN
Other
Enumeration date
01/04/2012
Last updated
05/03/2021
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