Provider Demographics
NPI:1427660471
Name:SUN, YINI (AUD)
Entity type:Individual
Prefix:DR
First Name:YINI
Middle Name:
Last Name:SUN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 SYLVIS ST
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-6314
Mailing Address - Country:US
Mailing Address - Phone:615-446-8565
Mailing Address - Fax:
Practice Address - Street 1:106 SYLVIS ST
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-6314
Practice Address - Country:US
Practice Address - Phone:615-446-8565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1953231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist