Healthcare Provider Details

I. General information

NPI: 1629544002
Provider Name (Legal Business Name): PAIGE SATCHEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2018
Last Update Date: 10/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 S HOLLYWOOD ST
MEMPHIS TN
38112-4801
US

IV. Provider business mailing address

532 COUNTY ROAD 415
TOWN CREEK AL
35672-3332
US

V. Phone/Fax

Practice location:
  • Phone: 901-416-5300
  • Fax: 901-426-5697
Mailing address:
  • Phone: 256-606-0737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: