Individual
MRS. NEISHA DANIEL BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8005 US HIGHWAY 60 W, LEWISPORT, KY 42351-7079
(270) 295-6756
Mailing address
6642 JACK HINTON RD, PHILPOT, KY 42366-9640
(270) 316-8549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2411
KY
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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