Individual
CAROLYN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
3999 DUTCHMANS LN STE 1D, LOUISVILLE, KY 40207-4741
(502) 583-8303
(502) 584-0302
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
165149
KY
Other
Enumeration date
06/22/2016
Last updated
02/20/2019
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