Individual
MS. SUZANNE ELISE STINNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
629 GALLAHER RD, KINGSTON, TN 37763-4215
(865) 376-3416
(865) 376-3532
Mailing address
629 GALLAHER RD, KINGSTON, TN 37763-4215
(865) 376-3416
(865) 376-3532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6896
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316076268
NPI
TN
01
—
1700316213
NPI
TN
Enumeration date
02/10/2020
Last updated
02/10/2020
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