Provider Demographics
NPI:1821380098
Name:DUGGER, AMY BRATTON (MS, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:BRATTON
Last Name:DUGGER
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:BERRY
Other - Last Name:BRATTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC/SLP
Mailing Address - Street 1:150 PINE CONE TRL
Mailing Address - Street 2:
Mailing Address - City:UNICOI
Mailing Address - State:TN
Mailing Address - Zip Code:37692-4956
Mailing Address - Country:US
Mailing Address - Phone:423-735-8847
Mailing Address - Fax:423-724-5706
Practice Address - Street 1:150 PINE CONE TRL
Practice Address - Street 2:
Practice Address - City:UNICOI
Practice Address - State:TN
Practice Address - Zip Code:37692-4956
Practice Address - Country:US
Practice Address - Phone:423-724-7759
Practice Address - Fax:423-205-5706
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-06
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202009877235Z00000X
TN1956235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist