Individual
MACY EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
317 TYSON AVE, PARIS, TN 38242-4567
(731) 407-9114
Mailing address
317 TYSON AVE, PARIS, TN 38242-4567
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7556
TN
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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