Doctor Name: | MRS. NINA ELIZABETH KING |
NPI Number: | 1447484605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 6174375 |
Business Practice Address: | 306 Sunset Dr Suite 103 Johnson City, TN - 376042492 |
Business Phone Number: | 4233289190 |
Business Fax Number: | 4233289189 |
Mailing Address: | 306 Sunset Dr, Suite 103 JOHNSON CITY |
State: | TN |
Postal Code: | 376042492 |
Phone Number: | 4233289190 |
Fax Number: | 4233289189 |
NPI Enumeration Date: | 05/04/2009 |
NPI Last Update Date: | 06/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6174375 |
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 |