Provider Demographics
NPI:1316708316
Name:KEMP, MARY VIRGINIA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:VIRGINIA
Last Name:KEMP
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 CROMFORD PL
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-8449
Mailing Address - Country:US
Mailing Address - Phone:334-718-2935
Mailing Address - Fax:
Practice Address - Street 1:71 CROMFORD PL
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-8449
Practice Address - Country:US
Practice Address - Phone:334-718-2935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist