| NPI | 1356491898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLI DRY Owner 502-671-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY KYR2278) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |