Provider Demographics
NPI:1841402013
Name:HARVEY, TAMELA L (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TAMELA
Middle Name:L
Last Name:HARVEY
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 1:407 UPTOWN SQ
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0575
Mailing Address - Country:US
Mailing Address - Phone:615-896-8046
Mailing Address - Fax:615-896-8046
Practice Address - Street 1:407 UPTOWN SQ
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0575
Practice Address - Country:US
Practice Address - Phone:615-896-8046
Practice Address - Fax:615-896-8046
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1062235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist