Provider Demographics
NPI:1770928913
Name:EARHART, MONICA PRUITT (SLT)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:PRUITT
Last Name:EARHART
Suffix:
Gender:F
Credentials:SLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-1950
Mailing Address - Country:US
Mailing Address - Phone:615-740-5837
Mailing Address - Fax:615-441-4136
Practice Address - Street 1:120 W BROAD ST
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-1950
Practice Address - Country:US
Practice Address - Phone:615-740-5837
Practice Address - Fax:615-441-4136
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant