Individual
AMANDA GRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
11901 SHELBYVILLE RD, LOUISVILLE, KY 40243-1077
(502) 245-3774
Mailing address
11901 SHELBYVILLE RD, LOUISVILLE, KY 40243-1077
(502) 245-3774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY3343
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100071850
—
KY
Enumeration date
01/14/2016
Last updated
01/14/2016
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