| Doctor Name: | MR. MATTHEW RYAN NEAS |
| NPI Number: | 1093106403 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S. CCC-SLP |
| License Number: | 5372 |
| Business Practice Address: | 9041 Executive Park Dr Ste 126 Knoxville, TN - 379234603 |
| Business Phone Number: | 8656935622 |
| Business Fax Number: | 8657690801 |
| Mailing Address: | 9041 Executive Park Dr Ste 126, KNOXVILLE |
| State: | TN |
| Postal Code: | 379234603 |
| Phone Number: | 4233291241 |
| Fax Number: | 8657690801 |
| NPI Enumeration Date: | 02/07/2015 |
| NPI Last Update Date: | 02/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 5372 |
| 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 |