Individual
HEAT HER FORD VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
254 MAIN ST, CADIZ, KY 42211-9153
(270) 871-3932
Mailing address
1412 WILSHIRE CIR, HOPKINSVILLE, KY 42240-6130
(270) 871-3932
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2294
KY
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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