Individual
ANDREA BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
411 BERTHA WALLACE DR, IRVINE, KY 40336-9418
(606) 723-5153
Mailing address
5898 JACKS CREEK PIKE # B, LEXINGTON, KY 40515-9536
(606) 723-5153
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-3170
KY
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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