Provider Demographics
NPI:1679063283
Name:GROME, REBECCA (AUDIOLOGIST)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:GROME
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 E IRIS DR STE A
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3107
Mailing Address - Country:US
Mailing Address - Phone:615-327-8102
Mailing Address - Fax:615-327-3324
Practice Address - Street 1:411 E IRIS DR STE A
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3107
Practice Address - Country:US
Practice Address - Phone:615-327-8102
Practice Address - Fax:615-327-3324
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty