Individual
TANNER ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
181 OLD WHITLEY RD, LONDON, KY 40744-8211
(606) 330-0223
Mailing address
181 OLD WHITLEY RD, LONDON, KY 40744-8211
(606) 330-0223
(606) 330-0228
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
262936
KY
Other
Enumeration date
05/13/2020
Last updated
04/21/2021
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