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NPI Code Detail

MEDICARE: ALEAH OWENS

MEDICARE: ALEAH OWENS
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
1235Z00000XSpeech-Language Pathologist8691077TN

General Provider Information

NPI Number : 1255751517
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEAH OWENS
Provider Business Mailing Address
First Line : 6320 N QUAIL HOLLOW RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-1420
Country : US
Telephone Number : 901-761-0021
Fax Number :
Provider Business Practice Location Address
First Line : 6320 N QUAIL HOLLOW RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-1420
Country : US
Telephone Number : 901-761-0021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2014
Last Update Date : 04/24/2014

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Directions to “ ALEAH OWENS ” Practice Location

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