Tara Gwynn, | |
90 Howard Dr, Shelbyville, KY 40065-8138 | |
(502) 633-1007 | |
(502) 805-1511 |
Full Name | Tara Gwynn |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 90 Howard Dr, Shelbyville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043527609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 10-025 (Kentucky) | Primary |
Provider Name | Associates In Pediatric Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396910840 PECOS PAC ID: 5193887321 Enrollment ID: O20081223000425 |
Mailing Address | Practice Location Address |
---|---|
Tara Gwynn, 90 Howard Dr, Shelbyville, KY 40065-8138 Ph: (502) 633-1007 | Tara Gwynn, 90 Howard Dr, Shelbyville, KY 40065-8138 Ph: (502) 633-1007 |
Mrs. Alyson K Kennon Woodyard, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1871 Midland Trl, Shelbyville, KY 40065 Phone: 502-633-2454 | |
Leigh Beth Shafer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 90 Howard Dr, Shelbyville, KY 40065 Phone: 502-633-1007 | |
Katherine Bruton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 90 Howard Dr, Shelbyville, KY 40065 Phone: 502-633-1007 Fax: 502-437-0624 | |
Patrick A Davis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 90 Howard Dr, Shelbyville, KY 40065 Phone: 502-633-1007 | |
Miss Stephanie Lenae Stansky, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 90 Howard Dr, Shelbyville, KY 40065 Phone: 502-633-1007 Fax: 502-437-0624 | |
Haley Morgan Ryan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 90 Howard Dr, Shelbyville, KY 40065 Phone: 502-633-1007 |