MISTY BLAYLOCK

BEREA, KY
NPI1821597006
Former NameMISTY PARROTT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: KY  138621)
Enumeration Date2018-02-02
Last Update Date2018-02-02
Business Address
MISTY BLAYLOCK MA, CCC-SLP
1043 BROOKLYN BLVD
BEREA, KY 40403-1090
Phone number: 859-228-0551
Mailing Address
MISTY BLAYLOCK MA, CCC-SLP
1013 CHERRY CT
RICHMOND, KY 40475-8902
Phone number: