Individual
LOGAN MACRAE ELLIS WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. ED., CCC-SLP
Contact information
Practice address
1512 HARRODSBURG RD, LAWRENCEBURG, KY 40342-9207
(859) 339-8681
Mailing address
1512 HARRODSBURG RD, LAWRENCEBURG, KY 40342-9207
(859) 339-8681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
270292
KY
Other
Enumeration date
05/13/2021
Last updated
08/06/2025
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