Organization Name: | EAST TENNESSEE STATE UNIVERSITY |
NPI Number: | 1861666562 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID D. COLLINS (CFO, VP FINANCE & ADMINISTRATION) |
Mailing Address: | 325 N State Of Franklin Rd (ground Floor With Pediatrics) Johnson City |
State: | TN US |
Postal Code: | 376046062 |
Phone Number: | 4234394355 |
Fax Number: | 4234394607 |
NPI Enumeration Date: | 04/15/2008 |
NPI Last Update Date: | 09/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |