Provider Demographics
NPI:1497782403
Name:TANGREN, CAROL STEEB (MS)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:STEEB
Last Name:TANGREN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 LEBANON RD
Mailing Address - Street 2:ASPS (126)
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-1237
Mailing Address - Country:US
Mailing Address - Phone:615-225-6350
Mailing Address - Fax:615-225-6351
Practice Address - Street 1:3400 LEBANON RD
Practice Address - Street 2:ASPS (126)
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1237
Practice Address - Country:US
Practice Address - Phone:615-225-6350
Practice Address - Fax:615-225-6351
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5394231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist