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NPI Code Detail

MEDICARE: NATALIE THORNE STASCH MS, CCC-SLP

MEDICARE: NATALIE THORNE STASCH 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 Pathologist7702TN

General Provider Information

NPI Number : 1962138941
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE THORNE STASCH MS, CCC-SLP
Provider Business Mailing Address
First Line : 10579 CEDAR GROVE RD STE 120
Second Line :
City : SMYRNA
State : TN
Zip : 37167-8385
Country : US
Telephone Number : 615-462-6233
Fax Number : 865-951-7281
Provider Business Practice Location Address
First Line : 10579 CEDAR GROVE RD STE 120
Second Line :
City : SMYRNA
State : TN
Zip : 37167-8385
Country : US
Telephone Number : 615-462-6233
Fax Number : 865-951-7281
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2022
Last Update Date : 08/01/2022

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