Individual
KARISSA GWEN NEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6877 HAPPY VALLEY RD, CAVE CITY, KY 42127-9407
(270) 773-2929
Mailing address
6877 HAPPY VALLEY RD, CAVE CITY, KY 42127-9407
(270) 773-2929
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2600
KY
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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