Provider Demographics
NPI:1114742590
Name:DAILEY, ANNA CAROLINE (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:CAROLINE
Last Name:DAILEY
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 W CREEK COYOTE TRL
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-6385
Mailing Address - Country:US
Mailing Address - Phone:931-503-3288
Mailing Address - Fax:
Practice Address - Street 1:1200 W CREEK COYOTE TRL
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-6385
Practice Address - Country:US
Practice Address - Phone:931-503-3288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000749181235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist