Individual
COURTNEY ALEXIS BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
31 DERICKSON LN, STANTON, KY 40380-2153
(606) 663-0435
Mailing address
401 LUXON DR, APARTMENT D, RICHMOND, KY 40475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11-058
KY
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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