Organization
MIDDLE TENNESSEE PEDIATRIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA SHAYE BRIGHT M.S., CCC/SLP (SPEECH-LANGUAGE PATHOLOGIST/CEO)
(615) 568-3865
Entity
Organization
Contact information
Practice address
2355 DOUBLE LOG CABIN RD, LEBANON, TN 37087-7481
(615) 568-3865
Mailing address
2355 DOUBLE LOG CABIN RD, LEBANON, TN 37087-7481
(615) 568-3865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000003330
TN
Other
Enumeration date
04/27/2015
Last updated
08/28/2015
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