| The Speech Path Pllc | |
|
752 Richmond Rd N Berea KY 40403 | |
| (859) 353-3666 | |
| (859) 448-7077 |
| Full Name | The Speech Path Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 752 Richmond Rd N, Berea, Kentucky |
| Authorized Official Name and Position | Michelle Raney (OWNER) |
| Authorized Official Contact | 8593533666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Speech Path Pllc 752 Richmond Rd N Berea KY 40403 Ph: (859) 353-3666 | The Speech Path Pllc 752 Richmond Rd N Berea KY 40403 Ph: (859) 353-3666 |
| NPI Number | 1033853981 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033853981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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