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NPI Code Detail

MEDICARE: MARY KATHARINE PAINTER MS CCC-SLP

MEDICARE: MARY KATHARINE PAINTER MS CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP0000005250TN

General Provider Information

NPI Number : 1003318973
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY KATHARINE PAINTER MS CCC-SLP
Provider Business Mailing Address
First Line : 515 ROCKINGHAM DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-2622
Country : US
Telephone Number : 610-468-6068
Fax Number :
Provider Business Practice Location Address
First Line : 220 LONGMIRE RD
Second Line :
City : CLINTON
State : TN
Zip : 37716-7338
Country : US
Telephone Number : 865-457-6925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2018
Last Update Date : 03/06/2018

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Directions to “ MARY KATHARINE PAINTER MS CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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