MEDICARE: PARENT-CHILD SERVICES GROUP, INC.

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
1	235Z00000X	Speech-Language Pathologist	SP490	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699875112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARENT-CHILD SERVICES GROUP, INC.

Provider Business Mailing Address
First Line	:	1536 WHITOWER DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-8843
Country	:	US
Telephone Number	:	865-567-1928
Fax Number	:	865-584-6607

Provider Business Practice Location Address
First Line	:	1536 WHITOWER DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-8843
Country	:	US
Telephone Number	:	865-567-1928
Fax Number	:	865-584-6607

Authorized Official
Title or Position	:	PRESIDENT/SPEECH-LANG. PATHOLOGIST
Name	:	MS. LYNNE F. HARMON
Credential	:	M.A., CCC-SLP
Telephone Number	:	865-567-1928

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	09/08/2015

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Directions to “PARENT-CHILD SERVICES GROUP, INC. ” Practice Location

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