| Southeast Kentucky Speech Language Pathology, Llc | |
|
181 Old Whitley Rd London KY 40744-8211 | |
| (606) 330-0223 | |
| Not Available |
| Full Name | Southeast Kentucky Speech Language Pathology, Llc |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 181 Old Whitley Rd, London, Kentucky |
| Authorized Official Name and Position | Greta Alicia Alexander (OWNER) |
| Authorized Official Contact | 6066829579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Kentucky Speech Language Pathology, Llc 181 Old Whitley Rd London KY 40744-8211 Ph: (606) 330-0223 | Southeast Kentucky Speech Language Pathology, Llc 181 Old Whitley Rd London KY 40744-8211 Ph: (606) 330-0223 |
| NPI Number | 1942675608 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 2163725003 |
|---|---|
| Medicare Enrollment ID | O20160126002562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942675608 | NPI | - | NPPES |
| Provider Name | Greta Alexander |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518332584 PECOS PAC ID: 3072816917 Enrollment ID: I20160126002647 |
| Provider Name | Hailee Breann Lewis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255816724 PECOS PAC ID: 1355777962 Enrollment ID: I20200130000304 |
| Provider Name | Sarah Blair |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063902583 PECOS PAC ID: 0648663526 Enrollment ID: I20220217001764 |
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