Provider Demographics
NPI:1376871954
Name:LANCE, KATHARINE ALENE (AUD)
Entity Type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:ALENE
Last Name:LANCE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:ALENE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2800 HUNTLEIGH DR.
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206
Mailing Address - Country:US
Mailing Address - Phone:865-414-6728
Mailing Address - Fax:
Practice Address - Street 1:3841 GREEN HILLS VILLAGE DR
Practice Address - Street 2:STE 200
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2691
Practice Address - Country:US
Practice Address - Phone:612-322-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231H00000X
TN1869231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2129023Medicaid
MS09403716Medicaid
LA36141Medicare PIN