| NPI | 1811529779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RUSSELL Speech Language Pathologist 859-322-8146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2020-02-09 |