Provider Demographics
NPI:1134451958
Name:PENDARVIS, DANA TURNER (AUD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:TURNER
Last Name:PENDARVIS
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 1:315 ROBERT ROSE DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-6360
Mailing Address - Country:US
Mailing Address - Phone:615-494-4344
Mailing Address - Fax:615-494-5329
Practice Address - Street 1:315 ROBERT ROSE DR
Practice Address - Street 2:SUITE E
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-6360
Practice Address - Country:US
Practice Address - Phone:615-494-4344
Practice Address - Fax:615-494-5329
Is Sole Proprietor?:No
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1106231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist