Provider Demographics
NPI:1487915187
Name:REDMOND, HELEN MANSUR (MA, CCC SLP)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:MANSUR
Last Name:REDMOND
Suffix:
Gender:F
Credentials:MA, CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1369 TUSKEGEE DR
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-5918
Mailing Address - Country:US
Mailing Address - Phone:865-384-5525
Mailing Address - Fax:865-220-8679
Practice Address - Street 1:1369 TUSKEGEE DR
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-5918
Practice Address - Country:US
Practice Address - Phone:865-384-5525
Practice Address - Fax:865-220-8679
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4744235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist