Provider Demographics
NPI:1386737401
Name:CARRAWAY, TORI (SLP)
Entity type:Individual
Prefix:MRS
First Name:TORI
Middle Name:
Last Name:CARRAWAY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 GARRISON RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-5155
Mailing Address - Country:US
Mailing Address - Phone:865-335-1531
Mailing Address - Fax:
Practice Address - Street 1:1036 GARRISON RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-5155
Practice Address - Country:US
Practice Address - Phone:865-335-1531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2816235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist