Doctor Name: | MS. BAMBI LEANN TROXELL |
NPI Number: | 1134485519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD CCC/SLP |
License Number: | 4406 |
Business Practice Address: | 615 Derby Street Chattanooga, TN - 37404 |
Business Phone Number: | 4236291451 |
Business Fax Number: | 4234932914 |
Mailing Address: | 615 Derby Street, CHATTANOOGA |
State: | TN |
Postal Code: | 37404 |
Phone Number: | 4236291451 |
Fax Number: | 4234932914 |
NPI Enumeration Date: | 04/10/2012 |
NPI Last Update Date: | 04/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4406 |
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 |