Provider Demographics
NPI:1568525475
Name:PARHAM, AMY A (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:A
Last Name:PARHAM
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4605 RACCOON TRL
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-4706
Mailing Address - Country:US
Mailing Address - Phone:615-591-3244
Mailing Address - Fax:615-591-3454
Practice Address - Street 1:4605 RACCOON TRL
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-4706
Practice Address - Country:US
Practice Address - Phone:615-591-3244
Practice Address - Fax:615-591-3454
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001816235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist