Doctor Name: | MRS. SELENA CALLAGHAN |
NPI Number: | 1124429634 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,CCC-SLP |
License Number: | 4559 |
Business Practice Address: | 514 S Brown St Suite 600 Springfield, TN - 371722937 |
Business Phone Number: | 6153820500 |
Business Fax Number: | 6153820501 |
Mailing Address: | 514 S Brown St, Suite 600 SPRINGFIELD |
State: | TN |
Postal Code: | 371722937 |
Phone Number: | 6153820500 |
Fax Number: | 6153820501 |
NPI Enumeration Date: | 09/16/2014 |
NPI Last Update Date: | 09/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4559 |
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 |