| NPI | 1649761263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BARKER Speech Language Pathologist/ Dor 502-559-1860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |