Individual
JANET DEA HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2865 CHANCELLOR DR, SUITE 105, CRESTVIEW HILLS, KY 41017-3912
(859) 426-5666
(859) 426-5665
Mailing address
2865 CHANCELLOR DR, SUITE 105, CRESTVIEW HILLS, KY 41017-3912
(859) 426-5666
(859) 426-5665
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3906
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3906
—
KY
Enumeration date
08/15/2016
Last updated
08/15/2016
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