Individual
MRS. AMY JEAN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
1053 EASTERN PKWY, LOUISVILLE, KY 40217-1559
(502) 637-3545
(502) 637-3545
Mailing address
1053 EASTERN PKWY, LOUISVILLE, KY 40217-1559
(502) 637-3545
(502) 637-3545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2676
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1607
PROVIDERID FOR FIRTSSTEPS
KY
Enumeration date
04/11/2007
Last updated
07/08/2007
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