Provider Demographics
NPI:1033312731
Name:DURRETT, MONICA LEE (MS,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LEE
Last Name:DURRETT
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:MISS
Other - First Name:MONICA
Other - Middle Name:LEE
Other - Last Name:DURRETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS,CCC-SLP
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:2004 HAYES ST STE 545
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2655
Practice Address - Country:US
Practice Address - Phone:615-284-7555
Practice Address - Fax:615-284-7075
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNSP 0000002858235Z00000X
TN2858235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist