Individual
JENNIFER MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
220 LONGMIRE RD, CLINTON, TN 37716-7338
(865) 457-6925
Mailing address
646 HILLTOP DR, JACKSBORO, TN 37757-2033
(615) 924-3077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
16354
FL
235Z00000X
Speech-Language Pathologist
Primary
4038
TN
Other
Enumeration date
04/18/2016
Last updated
01/02/2021
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