Doctor Name: | ANDREA THOMPSON DEGENNARO |
NPI Number: | 1083695761 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 0000000948 |
Business Practice Address: | U.t. Hearing And Speech Center 1600 Peyton Manning Pass Knoxville, TN - 379960001 |
Business Phone Number: | 8659745451 |
Business Fax Number: | 8659744639 |
Mailing Address: | U.t. Hearing And Speech Center, 1600 Peyton Manning Pass KNOXVILLE |
State: | TN |
Postal Code: | 379960001 |
Phone Number: | 8659745451 |
Fax Number: | 8659744639 |
NPI Enumeration Date: | 11/09/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0000000948 |
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 |