| NPI | 1053849505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA DUNCAN Speech Language Pathologist 270-703-7398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 142267) |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2022-07-21 |