| NPI | 1306294178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAHANNE MARIE MAXEY Owner/Manager 270-313-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 136808) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2020-06-05 |