Doctor Name: | MS. SUSAN DELANE COMMONS |
NPI Number: | 1093920142 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH LANGUAGE PATH |
License Number: | SP352 |
Business Practice Address: | 408 North Cedar Bluff Rd Suite 160 Knoxville, TN - 37923 |
Business Phone Number: | 8656907531 |
Business Fax Number: | 8656909242 |
Mailing Address: | 408 North Cedar Bluff Rd, Suite 160 KNOXVILLE |
State: | TN |
Postal Code: | 37923 |
Phone Number: | 8656907531 |
Fax Number: | 8656909242 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP352 |
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 |