| NPI | 1073725230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY JAYNES MCCLELLAN Speech Language Pathologist 859-223-7386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY1591) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-06-16 |