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NPI Code Detail

MEDICARE: ELIZABETH SIEGERT M.S, SLP

MEDICARE: ELIZABETH SIEGERT M.S, 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 Pathologist1191TN

General Provider Information

NPI Number : 1538440631
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SIEGERT M.S, SLP
Provider Business Mailing Address
First Line : 529 MIDWAY CIR
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-5178
Country : US
Telephone Number : 615-513-2094
Fax Number :
Provider Business Practice Location Address
First Line : 529 MIDWAY CIR
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-5178
Country : US
Telephone Number : 615-513-2094
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2011
Last Update Date : 07/22/2025

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