Individual
CALLIE MARIE REVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP-CCC
Contact information
Practice address
855 W COLLEGE ST STE F, MURFREESBORO, TN 37129-2762
(615) 614-8833
(502) 805-1511
Mailing address
1994 GALLATIN PIKE N, MADISON, TN 37115-2026
(615) 596-1830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5779
TN
Other
Enumeration date
05/24/2021
Last updated
01/10/2025
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