Full Name | |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 8536 Ky-80, Nancy, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578086765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 139816 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 293, Nancy, KY 42544-0293 Ph: (606) 271-9372 | 8536 Ky-80, Nancy, KY 42544 Ph: (606) 271-9372 |