Ann Allison, MA, CCC-SLP

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

NPI 1639413115 · NPPES record last updated Nov 21, 2012

Key facts

NPI
1639413115
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3170 (TN)
Practice address
257 Patton LN
Harriman, TN 37748-8618
Phone
(865) 354-8861
Fax
(865) 354-8861
NPI assigned
Nov 21, 2012
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

LicenseStateTypeSpecialty
3170TNMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3170 TN Yes

Addresses

Primary practice location

257 Patton LN
Harriman, TN 37748-8618

Mailing address

257 Patton LN
Harriman, TN 37748-8618
Phone (865) 354-8861

Other providers in Harriman, TN

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

Sources for this page

Verify at the official NPI Registry.