Organization
MOXIE SPEECH AND LANGUAGE PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN GOODMAN MA CCC-SLP (SPEECH THERAPIST)
(704) 564-4659
Entity
Organization
Contact information
Practice address
1101 FRONT ROYAL LN, KNOXVILLE, TN 37922-5287
(704) 564-4659
Mailing address
1101 FRONT ROYAL LN, KNOXVILLE, TN 37922-5287
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5700
TN
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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