East Tennessee State University

NPI #1720252554 in Gray, Tennessee

Provider Information

NPI Number: 1720252554
Entity Type: Organization
Organization Name: East Tennessee State University
Primary Specialty: Audiologist
Enumeration Date: Apr 14, 2008
Last Updated: Sep 11, 2008

Practice Location

Address: 350 CHRISTIAN CHURCH RD
City: Gray
State: Tennessee
ZIP Code: 37615-4500
Phone: (423) 439-4355

Authorized Official

Name: DAVID D. COLLINS
Title: CFO, VP FINANCE & ADMINISTRATION
Phone: (423) 439-5884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Audiologist	231H00000X	Primary

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