Provider Demographics
NPI:1003952219
Name:METCALFE, TERESA H (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:H
Last Name:METCALFE
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:526 EASTERN BYPASS
Mailing Address - Street 2:CORNERSTONE PHYSICAL THERAPY
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475
Mailing Address - Country:US
Mailing Address - Phone:859-623-4567
Mailing Address - Fax:859-623-7865
Practice Address - Street 1:526 EASTERN BYPASS
Practice Address - Street 2:CORNERSTONE PHYSICAL THERAPY
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475
Practice Address - Country:US
Practice Address - Phone:859-623-4567
Practice Address - Fax:859-623-7865
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY2671235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist