Individual
HAVEN BROADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
11965 ALVATON SCOTTSVILLE RD, ALVATON, KY 42122-9667
(270) 202-6482
Mailing address
11965 ALVATON SCOTTSVILLE RD, ALVATON, KY 42122-9667
(270) 202-6482
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4085
KY
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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