Doctor Name: | MRS. SHAWN FRANKS OVERTON |
NPI Number: | 1851671176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 1593 |
Business Practice Address: | 127 S Kentucky St Kingston, TN - 377632746 |
Business Phone Number: | 8657058688 |
Business Fax Number: | |
Mailing Address: | 11823 N Monticello Dr, KNOXVILLE |
State: | TN |
Postal Code: | 379342621 |
Phone Number: | 8656755876 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2011 |
NPI Last Update Date: | 08/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1593 |
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 |