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EAST TENNESSEE STATE UNIVERSITY NPI 1548422330


NPI Information

NPI: 1548422330
Provider Name: EAST TENNESSEE STATE UNIVERSITY

Doing Business As: CHILDREN'S FIRST

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization

CLIA Number: 44D2135461

Address:
837 PARDEE ST
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 439-4355
Get Directions

EAST TENNESSEE STATE UNIVERSITY is a speech language pathologist in Johnson City, TN. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. EAST TENNESSEE STATE UNIVERSITY NPI is 1548422330. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Children's First.

The provider's business location address is:

837 PARDEE ST
JOHNSON CITY, TN
ZIP 37601-900
Phone: (423) 439-4355
Fax: (423) 439-4607

The provider's authorized official is David D. Collins .
The authorized official title is Cfo, Vp Finance & Administration and has the following contact phone number (423) 439-5884.

The CLIA number assigned to this NPI record is 44D2135461 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 9/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1231H00000XAudiologistNo
2235Z00000XSpeech-Language PathologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13376497MEDICARE OSCAR/CERTIFICATION
23376497MEDICARE PIN
33376497MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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