Doctor Name: | MRS. PAMELA FAITH ABNER |
NPI Number: | 1063649259 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 0000002253 |
Business Practice Address: | 301 Wesley St Ste 1 Johnson City, TN - 376011721 |
Business Phone Number: | 4232821700 |
Business Fax Number: | 4232829319 |
Mailing Address: | 810 Hiwassee Heights Dr, JOHNSON CITY |
State: | TN |
Postal Code: | 376017503 |
Phone Number: | 4234340524 |
Fax Number: | 4232829319 |
NPI Enumeration Date: | 06/16/2009 |
NPI Last Update Date: | 06/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0000002253 |
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 |