MEDICARE: SPEECHCARE PC

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
1	235Z00000X	Speech-Language Pathologist	587	TN

General Provider Information

NPI Number	:	1922293646
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECHCARE PC

Provider Business Mailing Address
First Line	:	4918 WILLIAM ARNOLD RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38117-4238
Country	:	US
Telephone Number	:	901-767-0050
Fax Number	:	901-767-0097

Provider Business Practice Location Address
First Line	:	4918 WILLIAM ARNOLD RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38117-4238
Country	:	US
Telephone Number	:	901-767-0050
Fax Number	:	901-767-0097

Authorized Official
Title or Position	:	DIRECTOR/OWNER
Name	:	MRS. SHARON R POLLACK
Credential	:	CCC-SLP
Telephone Number	:	901-767-0050

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	09/06/2007

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Directions to “SPEECHCARE PC ” Practice Location

Language	Start Address	Practice Location

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