| NPI | 1104146109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LESHEA HOUK Co Owner Speech Pathologist 270-465-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-3391) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 0468) |
| 103K00000X Behavior Analyst (Licence: KY 168533) | |
| 106H00000X Marriage & Family Therapist (Licence: KY 0542) | |
| 225X00000X Occupational Therapist (Licence: KY KY-R3150) | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2019-06-12 |