Organization
J. ALLEN BRIDGMAN PEDIATRIC SPEECH PATHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN ALLEN BRIDGMAN M.S.CCC-SLP (OWNER)
(502) 314-5884
Entity
Organization
Contact information
Practice address
212 CLAREMONT AVE, LOUISVILLE, KY 40206-2731
(502) 314-5884
(502) 897-9893
Mailing address
212 CLAREMONT AVE, LOUISVILLE, KY 40206-2731
(502) 314-5884
(502) 897-9893
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2246
KY
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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