| NPI | 1649495557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY C MATHIS Speech/Language Pathologist 270-827-4857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY0401) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22001840A) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2015-07-22 |