Individual
MRS. MARY BEAN WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
4811 DAPHNE RD, MEMPHIS, TN 38118-7226
(901) 262-9807
(901) 797-8782
Mailing address
4811 DAPHNE RD, MEMPHIS, TN 38118-7226
(901) 262-9807
(901) 797-8782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000000339
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4088157
BLUE CROSS BLUE SHIELD
TN
Enumeration date
10/04/2006
Last updated
07/08/2007
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