Individual
ELLEN J PEARSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
103 SUBURBAN RD, SUITE 101 D, KNOXVILLE, TN 37923-5586
(865) 769-0283
(865) 769-0281
Mailing address
8905 COLCHESTER RIDGE RD, KNOXVILLE, TN 37922-1410
(865) 531-3097
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00001278
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP00001278
LICENSE NUMBER
TN
Enumeration date
06/08/2006
Last updated
07/08/2007
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