Provider Demographics
NPI:1043611635
Name:BRIGHT BEGINNINGS PEDIATRIC THERAPY CENTER
Entity Type:Organization
Organization Name:BRIGHT BEGINNINGS PEDIATRIC THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-898-7461
Mailing Address - Street 1:1803 WARD DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0559
Mailing Address - Country:US
Mailing Address - Phone:615-898-7461
Mailing Address - Fax:
Practice Address - Street 1:1803 WARD DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0559
Practice Address - Country:US
Practice Address - Phone:615-898-7461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5076235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty