MRS. Casey E. Bacon, M.S. CCC-SLP
NPI #1578820262 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1578820262
- Entity Type
- Individual
- Name
- MRS. Casey E. Bacon, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Apr 18, 2012
- Last Updated
- Apr 18, 2012
Practice Location
- Address
- 302 WESLEY ST
- Address 2
- SUITE 8
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-1740
- Phone
- (423) 282-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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