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Organization

CHILD DEVELOPMENTAL THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MYRA BRUTON TAYLOR MS (SPEECH/LANGUAGE PATHOLOGIST)
(502) 592-9936
Entity
Organization

Contact information

Practice address
5806 MARYMAN RD, LOUISVILLE, KY 40258-2002
(502) 592-9936
Mailing address
5806 MARYMAN RD, LOUISVILLE, KY 40258-2002
(502) 592-9936

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
05/07/2010
Last updated
05/10/2010
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