Individual
DANA MOUTACHOUIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP ATP
Contact information
Practice address
8922 ZABEL WAY, LOUISVILLE, KY 40291-1553
(502) 299-4926
(502) 231-2270
Mailing address
8922 ZABEL WAY, LOUISVILLE, KY 40291-1553
(502) 231-2270
(502) 231-2270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2170
KY
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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