Doctor Name: | MRS. CASEY DIGREZIO |
NPI Number: | 1740529445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP 0000004612 |
Business Practice Address: | 900 Professional Park Dr Clarksville, TN - 370405244 |
Business Phone Number: | 9315523002 |
Business Fax Number: | |
Mailing Address: | 3660 Prestwicke Pl, ADAMS |
State: | TN |
Postal Code: | 370109185 |
Phone Number: | 9107283757 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2013 |
NPI Last Update Date: | 01/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 0000004612 |
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 |