Provider Demographics
NPI:1689375008
Name:FAITH SPEECH, LANGUAGE, & SWALLOWING SVCS
Entity Type:Organization
Organization Name:FAITH SPEECH, LANGUAGE, & SWALLOWING SVCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CAINE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:615-668-9156
Mailing Address - Street 1:3868 DICKERSON PIKE STE 104
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-1313
Mailing Address - Country:US
Mailing Address - Phone:615-651-8659
Mailing Address - Fax:615-651-8665
Practice Address - Street 1:3868 DICKERSON PIKE STE 104
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-1313
Practice Address - Country:US
Practice Address - Phone:615-651-8659
Practice Address - Fax:615-651-8665
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAITH SPEECH, LANGUAGE, & SWALLOWING SVCS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty