| Mallory Miracle, | |
|
6317 Highway 329, Crestwood, KY 40014-9040 | |
| (502) 384-0910 | |
| (502) 384-0908 |
| Full Name | Mallory Miracle |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 6317 Highway 329, Crestwood, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538507413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 12-043 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Miracle, 4529 Biles Ct, Louisville, KY 40241-3703 Ph: (816) 830-3840 | Mallory Miracle, 6317 Highway 329, Crestwood, KY 40014-9040 Ph: (502) 384-0910 |
Mrs. Marci Jo Walker, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5413 Pearce Way, Crestwood, KY 40014 Phone: 502-807-7995 Fax: 502-241-5922 | |
Mary E Olson, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6317 Highway 329, Crestwood, KY 40014 Phone: 502-384-0910 | |
Miss Lindsay Michelle Hartmann, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6317 Highway 329, Crestwood, KY 40014 Phone: 502-384-0910 | |
Mrs. Kelsey Ann Schuhmann, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6317 Highway 329, Crestwood, KY 40014 Phone: 502-384-0910 | |
Briana Noelle Tingle, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6317 Highway 329, Crestwood, KY 40014 Phone: 502-384-0910 | |
Emily Marie Rhodes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6317 Highway 329, Crestwood, KY 40014 Phone: 502-384-0910 | |
Mrs. Erin Renee Berg, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6317 Highway 329, Crestwood, KY 40014 Phone: 502-384-0910 |