NPI | 1124210208 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY YVONNE CHILDRESS Owner/Clinician 606-308-5396 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-2373) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2007-08-13 |