Organization Name: | THERAPY SUCCESS, LLC |
NPI Number: | 1578974598 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ASHLEY RACHELLE FOWLER (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 5120 Foggy River Ln Bartlett |
State: | TN US |
Postal Code: | 381356261 |
Phone Number: | 9015962747 |
Fax Number: | 9015092704 |
NPI Enumeration Date: | 05/13/2014 |
NPI Last Update Date: | 05/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 4043 |
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 |