Provider Demographics
NPI:1649390188
Name:WINTERS, DARLENE POE (SPEECH-LANGUAGE PATH)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:POE
Last Name:WINTERS
Suffix:
Gender:F
Credentials:SPEECH-LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 BROOK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-6737
Mailing Address - Country:US
Mailing Address - Phone:901-758-8509
Mailing Address - Fax:
Practice Address - Street 1:481 BROOK RIDGE DR
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6737
Practice Address - Country:US
Practice Address - Phone:901-758-8509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000695235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist