Organization
CHILD FIRST DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY A SIMPSON MS,CCC-SLP (OWNER)
(502) 807-8711
Entity
Organization
Contact information
Practice address
14511 HEARTHSIDE CT, LOUISVILLE, KY 40245-3953
(502) 807-8711
Mailing address
14511 HEARTHSIDE CT, LOUISVILLE, KY 40245-3953
(502) 807-8711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2042
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042
LICENSE
KY
Enumeration date
05/18/2007
Last updated
08/22/2020
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