Doctor Name: | MRS. CHRISTIE RENEE BEDDOW |
NPI Number: | 1306249032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 5228 |
Business Practice Address: | 100 Brian Cir Antioch, TN - 370134340 |
Business Phone Number: | 6157517284 |
Business Fax Number: | 6153016196 |
Mailing Address: | 100 Brian Cir, ANTIOCH |
State: | TN |
Postal Code: | 370134340 |
Phone Number: | 6157517284 |
Fax Number: | 6153016196 |
NPI Enumeration Date: | 10/08/2014 |
NPI Last Update Date: | 11/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5228 |
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 |