| NPI | 1134200124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA LYNN DEYOUNG Director Of Credentialing 502-245-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 0388) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |