Healthcare Provider Details
I. General information
NPI: 1285617829
Provider Name (Legal Business Name): DONNA GLOVER SCHWABER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/29/2005
Last Update Date: 08/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4230 HARDING RD STE 400
NASHVILLE TN
37205-2013
US
IV. Provider business mailing address
104 WOODMONT BLVD STE LL-50
NASHVILLE TN
37205-2245
US
V. Phone/Fax
- Phone: 615-292-5191
- Fax: 615-386-2399
- Phone: 615-386-2300
- Fax: 615-386-2399
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | A0000001087 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: