East Tennessee State University
NPI #1548422330 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1548422330
- Entity Type
- Organization
- Organization Name
- East Tennessee State University
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jul 2, 2008
- Last Updated
- Sep 11, 2008
Practice Location
- Address
- 837 PARDEE ST
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-5900
- Phone
- (423) 439-4355
Authorized Official
- Name
- DAVID D. COLLINS
- Title
- CFO, VP FINANCE & ADMINISTRATION
- Phone
- (423) 439-5884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Audiologist |
| Speech-Language Pathologist |
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