Individual
MRS. DANIELLE FOWLER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 747-1800
(901) 747-1801
Mailing address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 747-1800
(901) 747-1801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000005505
TN
235Z00000X
Speech-Language Pathologist
—
AR
Other
Enumeration date
07/16/2010
Last updated
04/14/2020
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