NPI | 1740672351 |
---|---|
Entity Type | Organization |
Authorized Contact | AMBER L DEVINE-STINSON Owner/Speech Language Pathologist 502-291-3134 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 4268) |
Enumeration Date | 2015-02-19 |
Last Update Date | 2015-02-19 |