Organization
INTERACTIVE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER C VICE M.S. CCC-SLP (CO-OWNER)
(606) 465-9754
Entity
Organization
Contact information
Practice address
2801 ADAMS ST, ASHLAND, KY 41102-6007
(606) 465-9754
Mailing address
2801 ADAMS ST, ASHLAND, KY 41102-6007
(606) 465-9754
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
02/17/2018
Last updated
03/29/2018
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