| NPI | 1154539849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A SIMPSON Owner 502-807-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 2042) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |