Provider Demographics
NPI:1316158488
Name:SPEECH PATHOLOGY CONSULTANTS, LLC
Entity type:Organization
Organization Name:SPEECH PATHOLOGY CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:SUTTON
Authorized Official - Last Name:BUELL
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:615-578-4339
Mailing Address - Street 1:529 MIDWAY CIR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5178
Mailing Address - Country:US
Mailing Address - Phone:615-578-4339
Mailing Address - Fax:615-376-8197
Practice Address - Street 1:529 MIDWAY CIR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5178
Practice Address - Country:US
Practice Address - Phone:615-578-4339
Practice Address - Fax:615-376-8197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000810235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty