NPI | 1184854986 |
---|---|
Entity Type | Organization |
Authorized Contact | LISANNE SIMMS CRAVEN Speech Language Pathologist 502-893-1285 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 0405) |
Enumeration Date | 2009-07-15 |
Last Update Date | 2009-07-15 |