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NPI Code Detail

MEDICARE: MR. DAVID M SAPP SLPE, LPC

MEDICARE:  MR. DAVID M SAPP  SLPE, LPC
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
1101YP2500XProfessional Counselor0532TN
2103T00000XPsychologist1322TN

General Provider Information

NPI Number : 1639293004
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID M SAPP SLPE, LPC
Provider Business Mailing Address
First Line : 2112 N ROAN ST STE 300
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-2519
Country : US
Telephone Number : 865-588-3173
Fax Number : 865-244-3579
Provider Business Practice Location Address
First Line : 2112 N ROAN ST STE 300
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-2519
Country : US
Telephone Number : 865-588-3173
Fax Number : 865-244-3579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 01/22/2026

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Directions to “ MR. DAVID M SAPP SLPE, LPC” Practice Location

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