Provider Demographics
NPI:1871782433
Name:SACKS, JOANNE (CCC-A)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:SACKS
Suffix:
Gender:F
Credentials:CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 HAYES ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2324
Mailing Address - Country:US
Mailing Address - Phone:615-340-4000
Mailing Address - Fax:615-327-4449
Practice Address - Street 1:2001 HAYES ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2324
Practice Address - Country:US
Practice Address - Phone:615-340-4000
Practice Address - Fax:615-327-4449
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA0000001122237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3192074Medicare PIN