Provider Demographics
NPI:1922552223
Name:ANDERSON, ELIZABETH CASKEY (AUD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CASKEY
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 GATEWAY BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2590
Mailing Address - Country:US
Mailing Address - Phone:615-848-9265
Mailing Address - Fax:
Practice Address - Street 1:1370 GATEWAY BLVD STE 100
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2590
Practice Address - Country:US
Practice Address - Phone:615-848-9265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-04
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist