Middle Tennessee Pediatric Services, Pllc

Speech-Language Pathologist · Lebanon, TN

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At a glance

2355 Double Log Cabin Rd, Lebanon, TN 37087-7481

NPPES record updated Aug 28, 2015. Public records can lag behind changes at a practice.

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Practice location

2355 Double Log Cabin Rd
Lebanon, TN 37087-7481
Professional details: NPI, taxonomy & registry record
NPI1730566977
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Registry details

Primary taxonomy
Speech-Language Pathologist
Taxonomy code
235Z00000X
Enumeration date
Apr 27, 2015
Record updated
Aug 28, 2015
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Speech-Language Pathologist

235Z00000X · Primary

License reported: 0000003330 TN

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2355 Double Log Cabin Rd
Lebanon, TN 37087-7481
Phone
(615) 568-3865
Mailing address
2355 DOUBLE LOG CABIN RD

LEBANON, TN 370877481
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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