Provider Demographics
NPI:1073238556
Name:STONE, ANNA CAROLINE (M A CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:CAROLINE
Last Name:STONE
Suffix:
Gender:F
Credentials:M A CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 MCGAVOCK PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-3225
Mailing Address - Country:US
Mailing Address - Phone:501-295-9452
Mailing Address - Fax:
Practice Address - Street 1:1460 MCGAVOCK PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-3225
Practice Address - Country:US
Practice Address - Phone:501-295-9452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
TN8014235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist