Organization
BLUEBIRD SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE VOTTA TOMICZEK M.A., CCC-SLP (PRESIDENT)
(865) 214-7792
Entity
Organization
Contact information
Practice address
308 CATES ST, MARYVILLE, TN 37801-4904
(865) 214-7792
Mailing address
308 CATES ST, MARYVILLE, TN 37801-4904
(865) 214-7792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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