Doctor Name: | BROOKE MENDENHALL |
NPI Number: | 1457769564 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 9546 |
Business Practice Address: | 8249 Standifer Gap Rd Chattanooga, TN - 374215046 |
Business Phone Number: | 4238921716 |
Business Fax Number: | |
Mailing Address: | 318 Signal Mountain Blvd, SIGNAL MOUNTAIN |
State: | TN |
Postal Code: | 373771871 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/01/2014 |
NPI Last Update Date: | 08/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9546 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
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 |