| Organization Name: | SPEECH PATHOLOGY ASSOCIATES |
| NPI Number: | 1003963588 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAN S. FINE (SOLE PROPRIETOR) |
| Mailing Address: | 1001 Glennshire Dr Knoxville |
| State: | TN US |
| Postal Code: | 379231958 |
| Phone Number: | 8657058688 |
| Fax Number: | |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 07/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 08/01/2008 |
| NPI Reactivation Date: | 07/29/2013 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP0000002724 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |