Individual
HEATHER RAE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5016
(865) 983-7211
Mailing address
2804A WILDWOOD RD, MARYVILLE, TN 37804-2866
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5261
TN
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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