Provider Demographics
NPI:1245638360
Name:MILLRANEY, LISA GAIL (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:GAIL
Last Name:MILLRANEY
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 1:374 TUSCULUM RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-6154
Mailing Address - Country:US
Mailing Address - Phone:615-499-4695
Mailing Address - Fax:
Practice Address - Street 1:374 TUSCULUM RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-6154
Practice Address - Country:US
Practice Address - Phone:615-499-4695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-06
Last Update Date:2014-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNSP1037235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist