Doctor Name: | MRS. JEAN LOUISE BRANDON |
NPI Number: | 1285825091 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 1624 |
Business Practice Address: | 2900 Tazewell Pike Ste. C Knoxville, TN - 379181880 |
Business Phone Number: | 8656860082 |
Business Fax Number: | 8656860174 |
Mailing Address: | 2900 Tazewell Pike, Ste. C KNOXVILLE |
State: | TN |
Postal Code: | 379181880 |
Phone Number: | 8656860082 |
Fax Number: | 8656860174 |
NPI Enumeration Date: | 08/06/2007 |
NPI Last Update Date: | 03/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1624 |
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 |