| NPI | 1033965850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI ALECIA SHEPHERD Speech Language Pathologist 606-224-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |