Healthcare Provider Details

I. General information

NPI: 1437384351
Provider Name (Legal Business Name): ANGELA MICHELLE TERRADO SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2009
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 DUNBAR CAVE RD STE A
CLARKSVILLE TN
37043-8850
US

IV. Provider business mailing address

215 DUNBAR CAVE RD STE A
CLARKSVILLE TN
37043-8850
US

V. Phone/Fax

Practice location:
  • Phone: 931-523-2739
  • Fax: 931-233-9970
Mailing address:
  • Phone: 931-542-2739
  • Fax: 931-233-9970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number83
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: