Suzanne Park Enochs, SLP
Individual provider Active NPI Speech-Language Pathologist · Decaturville, TN
NPI 1164501854 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164501854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 524 W Main St
Decaturville, TN 38329-8101 - Phone
- (731) 852-3591
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
524 W Main St
Decaturville, TN 38329-8101
Mailing address
1380 Frizzell Rd
Lexington, TN 38351-6844
Phone (731) 234-9200
Other providers in Decaturville, TN
- Chelsey Sparks Dba Decaturville Family Practice
- Ryan Wyatt Collett
- Decatur County Board of Education
- Joyce Doyle
- Jill L Duke
- Carisa Jane Gulledge
- Cheryl A Gurley
- Thomas M Hamilton
- Sheila W Hensley
- Melissa Isbell
All providers in Decaturville, TN · Speech-Language Pathologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.