MEDICARE: ROBERT DANIEL FLATT SLP-CCC

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	5331	TN

General Provider Information

NPI Number	:	1942675756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT DANIEL FLATT SLP-CCC

Provider Business Mailing Address
First Line	:	PO BOX 306393
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37230-6393
Country	:	US
Telephone Number	:	615-373-1350
Fax Number	:	615-373-7116

Provider Business Practice Location Address
First Line	:	1203B MEMORIAL BLVD
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-2420
Country	:	US
Telephone Number	:	615-895-4491
Fax Number	:	615-907-1832

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2015
Last Update Date	:	01/04/2022

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