Azjah Watson, CCC-SLP
Speech-Language Pathologist, in Cordova, TN. Individual provider (NPI-1).
NPI number1154053643
StatusActive
Last updated in NPPESSep 30, 2024
Details
- NPI
- 1154053643
- Entity type
- Individual (NPI-1)
- Name
- Azjah Watson
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2022
- Certification date
- Sep 30, 2024
- Last updated
- Sep 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 122305 | TX | Yes |
| 235Z00000X | Speech-Language Pathologist, | 7606 | TN |
Practice location
70 Timber Creek DrCordova, TN 38018-4285
Phone 901-312-9915
Mailing address
4774 Sea Isle RdMemphis, TN 38117-6636
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All 57 Speech-Language Pathologist providers in Cordova · All 1,789 providers in Cordova
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