Doctor Name: | EMILY RADKE THOMAS |
NPI Number: | 1710279310 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | SP 0000004119 |
Business Practice Address: | 209 Castlewood Dr Ste B Murfreesboro, TN - 371295163 |
Business Phone Number: | 6158987461 |
Business Fax Number: | 6158987490 |
Mailing Address: | 2032 Empress Dr, Apt: C-301 MURFREESBORO |
State: | TN |
Postal Code: | 371301285 |
Phone Number: | 6152103816 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2011 |
NPI Last Update Date: | 05/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 0000004119 |
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 |