Tina Lanette Vine, MACCCSLP

NPI #1669538005 in Mc Kenzie, Tennessee

Provider Information

NPI Number
1669538005
Entity Type
Individual
Name
Tina Lanette Vine, MACCCSLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MACCCSLP
Enumeration Date
Dec 29, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
175 HOSPITAL DR
ZIP Code
38201-1636
Phone
(731) 352-3908

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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