Mandy Carol Adams, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Cordova, TN
NPI 1992401913 · NPPES record last updated Feb 1, 2023
Key facts
- NPI
- 1992401913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0000007712 (TN)
- Practice address
- 70 Timber Creek Dr
Cordova, TN 38018-4285 - Phone
- (901) 309-3077
- NPI assigned
- Feb 1, 2023
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000007712 | TN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0000007712 | TN | Yes |
Addresses
Primary practice location
70 Timber Creek Dr
Cordova, TN 38018-4285
Mailing address
70 Timber Creek Dr
Cordova, TN 38018-4285
Phone (901) 309-3077
Other providers in Cordova, TN
- Amro Abujaber
- Accurate Collections Entity, Inc
- Acuone Clinic LLC
- Carol Adair
- Bola Adamolekun
- Shatonya Adams
- Frank John Adcock III
- Jessica Marie Adcock
- Latonya Rochelle Addison
- Jennifer Adelman
All providers in Cordova, 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 Feb 1, 2023. 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.