MEDICARE: SARAH JAYNE SOLOVEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	5815	TN

General Provider Information

NPI Number	:	1205398435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH JAYNE SOLOVEY

Provider Business Mailing Address
First Line	:	2242 ESTELLE CIR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-2703
Country	:	US
Telephone Number	:	423-314-3561
Fax Number	:

Provider Business Practice Location Address
First Line	:	2242 ESTELLE CIR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-2703
Country	:	US
Telephone Number	:	423-314-3561
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2019
Last Update Date	:	04/05/2019

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Directions to “ SARAH JAYNE SOLOVEY ” Practice Location

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