Provider Demographics
NPI:1215177837
Name:BUELL, BARBARA SUTTON (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:SUTTON
Last Name:BUELL
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 MIDWAY CIR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5178
Mailing Address - Country:US
Mailing Address - Phone:615-578-4339
Mailing Address - Fax:615-376-8197
Practice Address - Street 1:529 MIDWAY CIR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5178
Practice Address - Country:US
Practice Address - Phone:615-578-4339
Practice Address - Fax:615-376-8197
Is Sole Proprietor?:No
Enumeration Date:2009-02-22
Last Update Date:2009-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000810235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist