Amy Baugh, SLP

Individual provider Active NPI Speech-Language Pathologist · Lebanon, TN

NPI 1245525435 · NPPES record last updated Jun 15, 2011

Key facts

NPI
1245525435
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4019 (TN)
Practice address
163 Business Park Dr
Suite 11
Lebanon, TN 37090-1241
Phone
(615) 443-4445
Fax
(615) 443-4448
NPI assigned
Jun 15, 2011
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

State licenses

LicenseStateTypeSpecialty
4019TNMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4019 TN Yes

Addresses

Primary practice location

163 Business Park Dr
Suite 11
Lebanon, TN 37090-1241

Mailing address

163 Business Park Dr
Suite 11
Lebanon, TN 37090-1241
Phone (615) 443-4445

Other providers in Lebanon, TN

All providers in Lebanon, TN · Speech-Language Pathologist in Tennessee

Sources for this page

Verify at the official NPI Registry.