Provider Demographics
NPI:1609906759
Name:BIBLE, IRENE FLORENCE (MS,CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:IRENE
Middle Name:FLORENCE
Last Name:BIBLE
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 1:6169 HICKORY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37090
Mailing Address - Country:US
Mailing Address - Phone:615-596-5382
Mailing Address - Fax:615-444-7950
Practice Address - Street 1:6169 HICKORY RIDGE RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37090-8295
Practice Address - Country:US
Practice Address - Phone:615-596-5382
Practice Address - Fax:615-444-7950
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000854235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4052471OtherBCBS PROVIDER NUMBER
TN0000000854OtherSTATE LINCENSURE