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NPI Code Detail

MEDICARE: MARY VELVET BUEHLER M.A., CCC-SLP/A

MEDICARE:   MARY VELVET BUEHLER  M.A., CCC-SLP/A
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
1231H00000XAudiologist0000001938TN
2235Z00000XSpeech-Language Pathologist0000000817TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255312153
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY VELVET BUEHLER M.A., CCC-SLP/A
Provider Business Mailing Address
First Line : U.T. HEARING AND SPEECH CENTER
Second Line : 1600 PEYTON MANNING PASS
City : KNOXVILLE
State : TN
Zip : 37996-0001
Country : US
Telephone Number : 865-974-5451
Fax Number : 865-974-1792
Provider Business Practice Location Address
First Line : 455 SOUTH STADIUM HALL
Second Line :
City : KNOXVILLE
State : TN
Zip : 37996-0001
Country : US
Telephone Number : 865-974-1788
Fax Number : 865-974-1539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 11/16/2016

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