Healthcare Provider Details

I. General information

NPI: 1801059613
Provider Name (Legal Business Name): SPEECH AND HEARING CENTER OF THE MID-SOUTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 POPLAR AVE
GERMANTOWN TN
38138-5006
US

IV. Provider business mailing address

7901 POPLAR AVE
GERMANTOWN TN
38138-5006
US

V. Phone/Fax

Practice location:
  • Phone: 901-758-2228
  • Fax:
Mailing address:
  • Phone: 901-758-2228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number0000003122
License Number StateTN

VIII. Authorized Official

Name: MRS. TERESA SCHWARTZ
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 901-758-2228