Individual
CYNTHIA WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 S HOLLYWOOD ST, MEMPHIS, TN 38112-4801
(901) 416-5300
Mailing address
830 POPLAR ACRES RD, PIPERTON, TN 38017-5144
(901) 246-8934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5500
TN
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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