Organization
JACKIE-D-YAK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE REE DUNN ED.S, CCC-SLP (OWNER)
(615) 476-7261
Entity
Organization
Contact information
Practice address
4741 TROUSDALE DR STE 1, NASHVILLE, TN 37220-1340
(615) 290-5397
(615) 941-8935
Mailing address
PO BOX 516, ANTIOCH, TN 37011-0516
(615) 290-5397
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SP0000002334
TN
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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