Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tanya S Willis

Individual provider Speech-Language Pathologist · NPI 1831441146

Tanya S Willis is a Speech-Language Pathologist in Bolivar, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
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Practice location Address checks out

10815 Old Highway 64
Bolivar, TN 38008-3599
Phone: (731) 658-2510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 0000001707 (TN)

Record details

NPI number1831441146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2012
Last updated in NPPESOctober 10, 2012
Mailing address11415 Lake Hardeman Rd, Middleton, TN 38052-4237

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