| NPI | 1942675608 |
|---|---|
| Other Name | SOUTHEAST KENTUCKY SPEECH LANGUAGE PATHOLOGY, LLC |
| Entity Type | Organization |
| Authorized Contact | GRETA ALICIA ALEXANDER Owner 606-682-9579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 141468) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 104617) |
| 225100000X Physical Therapist (Licence: KY 001886) | |
| 225X00000X Occupational Therapist (Licence: KY 135676) | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2022-09-19 |