Basic Information
Provider Information
NPI: 1235403478
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRENCH
FirstName: NATHAN
MiddleName: MCNEIL
NamePrefix: MR.
NameSuffix:  
Credential: M.S., CCC-SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9800 LAKELAND VIEW WAY UNIT 201
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379225175
CountryCode: US
TelephoneNumber: 8656797614
FaxNumber:  
Practice Location
Address1: 5250 W ANDREW JOHNSON HWY
Address2:  
City: MORRISTOWN
State: TN
PostalCode: 378141027
CountryCode: US
TelephoneNumber: 4233187800
FaxNumber: 4233173332
Other Information
ProviderEnumerationDate: 03/06/2012
LastUpdateDate: 03/06/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X3057TNY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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