Andrea Yelverton Austin

Individual provider Active NPI Speech-Language Pathologist · Mt Juliet, TN

NPI 1013660414 · NPPES record last updated Feb 17, 2022

Key facts

NPI
1013660414
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
6960
Practice address
368 Quarry Loop Rd
Mt Juliet, TN 37122-7206
Phone
(615) 443-4445
NPI assigned
Jan 27, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6960 Yes

Addresses

Primary practice location

368 Quarry Loop Rd
Mt Juliet, TN 37122-7206

Mailing address

368 Quarry Loop Rd
Mt Juliet, TN 37122-7206
Phone (615) 443-4445

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address andrea@dynamictherapycenter.com

Other providers in Mt Juliet, TN

All providers in Mt Juliet, TN · Speech-Language Pathologist in Tennessee

Sources for this page

Verify at the official NPI Registry.