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NPI Code Detail

MEDICARE: KATHERINE DEVINE

MEDICARE:   KATHERINE  DEVINE
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 Pathologist6687TN

General Provider Information

NPI Number : 1518572833
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE DEVINE
Provider Business Mailing Address
First Line : 1713 BEECHWOOD AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37212-5501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1713 BEECHWOOD AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37212-5501
Country : US
Telephone Number : 270-799-8782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2020
Last Update Date : 09/14/2020

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Directions to “ KATHERINE DEVINE ” Practice Location

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