JENNA MARCUM BLYTH

LOUISVILLE, KY
NPI1538440524
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: KY  3898)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: IN  22005289A)
Enumeration Date2011-09-02
Last Update Date2013-12-12
Business Address
-- JENNA MARCUM BLYTH SLP
204 RING RD
LOUISVILLE, KY 40207
Phone number: 502-439-1552
Mailing Address
-- JENNA MARCUM BLYTH SLP
204 RING RD
LOUISVILLE, KY 40207
Phone number: 502-439-1552