Individual
REBECCA R MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
982 EASTERN PKWY, LOUISVILLE, KY 40217
(502) 635-6397
(502) 635-1147
Mailing address
2402 SHERRY RD, LOUISVILLE, KY 40217
(502) 638-0595
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2127
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186059
ANTHEM
—
Enumeration date
11/03/2006
Last updated
07/08/2007
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