Individual provider · NPI-1
Sarah Altic, M.S. CCC-SLP
Speech-Language Pathologist, · Knoxville, TN
NPI number1609119825
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1609119825
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sarah Altic
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2013
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 4970 | TN | Yes |
Practice location
10335 Kingston PikeKnoxville, TN 37922-3224
Phone 865-851-9192 · Fax 865-381-1919
Mailing address
10335 Kingston PikeKnoxville, TN 37922-3224
Phone 865-851-9192 · Fax 865-381-1919
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