Provider Demographics
NPI:1558468900
Name:SIDDELL, ANNE M (SLP)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:M
Last Name:SIDDELL
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 1:8420 BARBEE LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-6322
Mailing Address - Country:US
Mailing Address - Phone:865-691-4006
Mailing Address - Fax:
Practice Address - Street 1:120 CAVETT HILL LA
Practice Address - Street 2:NHC HEALTHCARE
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934
Practice Address - Country:US
Practice Address - Phone:865-777-4000
Practice Address - Fax:865-777-1470
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN383235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist