| NPI | 1124764535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SHEDDEN Owner 859-229-0487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |