Most Relevant Information
Provider Data
| NPI Number: | 1003393455 |
| Provider Name: | PAMELA ROSE KOEBCKE M.S., SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 6494 |
Most Important Dates
| Enumeration Date: | 07/27/2018 |
| Last Updated: | 07/29/2024 |
Provider Practice Location
310 CORPORATE DR STE 101
KNOXVILLE
TN
379234638
Practice Location Phone/Fax
| Phone: | 8656935622 |
| Fax: | 8656865828 |
Provider Mailing Location
310 CORPORATE DR STE 101
KNOXVILLE
TN
379234638
Provider Mailing Phone/Fax
| Phone: | 8656935622 |
| Fax: | 8656865828 |