Individual
MACREENA M GROODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1877 FARNSLEY RD, LOUISVILLE, KY 40216-4701
(502) 448-8622
Mailing address
9813 OAKSHIRE DR, LOUISVILLE, KY 40299-3153
(502) 338-1044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
277701
KY
235Z00000X
Speech-Language Pathologist
Primary
285238
KY
Other
Enumeration date
07/08/2022
Last updated
12/04/2023
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