| NPI | 1972949139 |
|---|---|
| Former Name | CONNIE R MCCOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: KY 142321) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: KY 0868) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2017-03-03 |