Doctor Name: | ANDREA VAN METER |
NPI Number: | 1518189307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 3167 |
Business Practice Address: | 2134 Old Ashland City Rd Clarksville, TN - 370434972 |
Business Phone Number: | 9315523002 |
Business Fax Number: | |
Mailing Address: | 3119 Arrow Ln, CLARKSVILLE |
State: | TN |
Postal Code: | 370432463 |
Phone Number: | 9313027969 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3167 |
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 |