Individual
ROBERTA KATHLEEN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 JONATHAN LN, GREENEVILLE, TN 37745-6512
(423) 422-4123
Mailing address
110 JONATHAN LN, GREENEVILLE, TN 37745-6512
(423) 422-4123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5709
TN
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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