Provider Demographics
NPI:1144619156
Name:SIPES, MARCY
Entity Type:Individual
Prefix:
First Name:MARCY
Middle Name:
Last Name:SIPES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 21ST AVE S
Mailing Address - Street 2:MCE II SUITE 6209
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-8718
Mailing Address - Country:US
Mailing Address - Phone:615-936-5221
Mailing Address - Fax:615-875-1411
Practice Address - Street 1:1215 21ST AVE S
Practice Address - Street 2:MCE II SUITE 6209
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8718
Practice Address - Country:US
Practice Address - Phone:615-936-5221
Practice Address - Fax:615-875-1411
Is Sole Proprietor?:No
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN841235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist