Individual
MRS. NATASHA RAE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
120 BROOKHAVEN DR, SOMERSET, KY 42501-1102
(606) 305-3569
Mailing address
120 BROOKHAVEN DR, SOMERSET, KY 42501-1102
(606) 305-3569
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10-020
KY
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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