Individual
MRS. KELLEY LYNN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
111 SULPHUR SPRINGS RD, MURFREESBORO, TN 37129-2117
(615) 896-8046
Mailing address
10721 CHAPMAN HWY STE 22, SEYMOUR, TN 37865-4767
(865) 579-2293
(865) 579-2295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 0000004544
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12148287
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION CERTIFICATE OF CLINICAL COMPETENCE
—
01
—
SP 0000004544
STATE OF TN BOARD OF COMMUNICATION DISORDERS AND SCIENCES
TN
Enumeration date
02/18/2013
Last updated
06/06/2017
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