Healthcare Provider Details
I. General information
NPI: 1245363092
Provider Name (Legal Business Name): CHARLENE REKLINSKI ALVEY AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/13/2007
Last Update Date: 07/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
507 NEW HIGHWAY 96 W
FRANKLIN TN
37064-2470
US
IV. Provider business mailing address
5649 CARTERS CREEK PIKE
THOMPSONS STATION TN
37179-5292
US
V. Phone/Fax
- Phone: 615-794-4837
- Fax: 615-790-4749
- Phone: 615-790-9547
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: