NPI 1033584446

Michael Bush, SLPCCC

Practitioner Speech-Language Pathologist Clarksville, TN

Practice location

Address: 621 Gracey Ave, Clarksville, TN 37040-4012
Phone: (423) 622-1551
Fax: (877) 856-7133
Mailing address: PO Box 8114, Chattanooga, TN 37414-0114

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 5371 (TN)

Other Speech-Language Pathologist providers in Tennessee →

Registry record

NPI: 1033584446
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Dec 2015
Record last updated: 10 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.