Individual
LUCINDA CLAY MIDDAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
105 PRATER DR, GEORGETOWN, KY 40324-8663
(859) 576-5234
Mailing address
105 PRATER DR, GEORGETOWN, KY 40324-8663
(859) 576-5234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
142344
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NONE
—
Enumeration date
01/14/2020
Last updated
01/14/2020
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