Individual
CHRISTINE GAYLE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
200 BROOKSIDE DR, LOUISVILLE, KY 40243-1277
(502) 245-3048
Mailing address
3506 PINECONE CIR, LOUISVILLE, KY 40241-2725
(502) 533-2424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3555
KY
Other
Enumeration date
03/31/2021
Last updated
12/23/2024
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