| NPI | 1962432609 |
|---|---|
| Doing Business As | ETSU SPEECH & HEARING CENTER |
| Entity Type | Organization |
| Authorized Contact | RUSSELL E LEWIS Executive Director 423-433-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-05-03 |