| NPI | 1568815157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA DANNER Speech Language Pathologist 859-250-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY KY-2872) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |