Provider Demographics
NPI:1275719452
Name:TWIGGS, NATASHA A (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:A
Last Name:TWIGGS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-4515
Mailing Address - Country:US
Mailing Address - Phone:423-255-8023
Mailing Address - Fax:423-622-1556
Practice Address - Street 1:1020 RUNYAN DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-1200
Practice Address - Country:US
Practice Address - Phone:941-456-4367
Practice Address - Fax:855-693-7822
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNSLP3620235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist