| 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 |