Individual
MRS. CHRISTINE A LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.-CCC-SLP
Contact information
Practice address
430 RAY NORRISH DR, CINCINNATI, OH 45246-1520
(513) 671-7446
(513) 671-7448
Mailing address
430 RAY NORRISH DR, CINCINNATI, OH 45246-1520
(513) 671-7446
(513) 671-7448
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-3543
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013284
ANTHEM PIN
OH
01
—
0576327
BCMH
OH
Enumeration date
03/07/2007
Last updated
07/08/2007
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