Organization
SHERIDAN SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL RENEE SHERIDAN MA, CCC S (SPEECH PATHOLOGIST/OWNER)
(740) 479-2395
Entity
Organization
Contact information
Practice address
3040 PREAKNESS CT, RACELAND, KY 41169-1093
(740) 479-2395
Mailing address
3040 PREAKNESS CT, RACELAND, KY 41169-1093
(740) 479-2395
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
141919
KY
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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