Healthcare Provider Details

I. General information

NPI: 1598583965
Provider Name (Legal Business Name): SIGNAL CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2024
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2212 ENCOMPASS DR STE 148
CHATTANOOGA TN
37421-1577
US

IV. Provider business mailing address

2212 ENCOMPASS DR STE 148
CHATTANOOGA TN
37421-1577
US

V. Phone/Fax

Practice location:
  • Phone: 423-635-7733
  • Fax: 713-344-9420
Mailing address:
  • Phone: 423-635-7733
  • Fax: 713-344-9420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: PAMELA HOSTERMAN
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential:
Phone: 423-635-7733