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NPI Code Detail

MEDICARE: ANSLEY STOUT M.S. CCC-SLP

MEDICARE: ANSLEY STOUT M.S. CCC-SLP
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 Pathologist

General Provider Information

NPI Number : 1336917293
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANSLEY STOUT M.S. CCC-SLP
Provider Business Mailing Address
First Line : 10579 CEDAR GROVE RD
Second Line :
City : SMYRNA
State : TN
Zip : 37167-8376
Country : US
Telephone Number : 615-462-6233
Fax Number :
Provider Business Practice Location Address
First Line : 10579 CEDAR GROVE RD STE 120
Second Line :
City : SMYRNA
State : TN
Zip : 37167-8385
Country : US
Telephone Number : 615-462-6233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2023
Last Update Date : 02/25/2026

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Directions to “ ANSLEY STOUT M.S. CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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