| NPI | 1649312380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA LOUISE DIERSING Speech Language Pathologist 502-935-8522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |