Pamela Wright Powell, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Louisville, TN
NPI 1396992152 · NPPES record last updated Aug 25, 2008
Key facts
- NPI
- 1396992152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0000001865 (TN)
- Practice address
- 4262 Ridge Water Rd
Louisville, TN 37777-3044 - Phone
- (865) 679-4775
- NPI assigned
- Aug 25, 2008
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000001865 | TN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0000001865 | TN | Yes |
Addresses
Primary practice location
4262 Ridge Water Rd
Louisville, TN 37777-3044
Mailing address
4262 Ridge Water Rd
Louisville, TN 37777-3044
Phone (865) 379-9366
Other providers in Louisville, TN
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- Ethan Paschall
- Jessica Nicole Paskwietz
- Toni Danielle Pickle
- Antoinette Pinto
- Quality Care Inc
- Rajendra T Raman
- Linda Anne Rankin
- John Howell Ransone
- Revive Therapy and Counseling Services
All providers in Louisville, 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 Aug 25, 2008. 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.