| NPI | 1730234055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISANNE SIMMS CRAVEN Speech Language Pathologist 502-459-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 405) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |