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 |