Provider Demographics
NPI:1376051599
Name:ADAMS, TENLEY GAYLE
Entity Type:Individual
Prefix:
First Name:TENLEY
Middle Name:GAYLE
Last Name:ADAMS
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 1:901 S WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IN
Mailing Address - Zip Code:46041-3256
Mailing Address - Country:US
Mailing Address - Phone:765-242-5602
Mailing Address - Fax:
Practice Address - Street 1:901 S WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IN
Practice Address - Zip Code:46041-3256
Practice Address - Country:US
Practice Address - Phone:765-242-5602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist