Individual
TAMMY SUE CAUDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3740 KY 30 W, BOONEVILLE, KY 41314-7162
(606) 454-9509
Mailing address
3740 KY 30 W, BOONEVILLE, KY 41314-7162
(606) 454-9509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2769
KY
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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