NPI | 1659777258 |
---|---|
Entity Type | Organization |
Authorized Contact | RHONDA MATTINGLY Member 502-552-4598 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 1168) |
Enumeration Date | 2014-11-08 |
Last Update Date | 2014-11-08 |