Provider Demographics
NPI:1851565121
Name:WEBB, SUSAN BIVENS (MA -CCC-A)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:BIVENS
Last Name:WEBB
Suffix:
Gender:F
Credentials:MA -CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7680 DANNAHER DR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-4052
Mailing Address - Country:US
Mailing Address - Phone:865-521-8050
Mailing Address - Fax:865-947-7907
Practice Address - Street 1:1932 ALCOA HWY STE 160
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1517
Practice Address - Country:US
Practice Address - Phone:865-244-4396
Practice Address - Fax:865-947-7907
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA 0000001150231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist