Individual provider · Type 1 NPI

Tina Lanette Vine, MACCCSLP

Speech-Language Pathologist · Mc Kenzie, TN

NPI number 1669538005 Active

Practice location

175 Hospital Dr
Mc Kenzie, TN 38201-1636

Fax (731) 352-4579

Mailing address

327 Head St
Paris, TN 38242-4140

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSP0000001960 (TN)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1669538005

Tina Lanette Vine, MACCCSLP's National Provider Identifier is 1669538005, issued on Dec 29, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Mc Kenzie, TN. The record was last updated on Jul 8, 2007.