Individual
KATLYN DANIEL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
23 W CENTER ST FL 1, MADISONVILLE, KY 42431-1941
(270) 452-2835
Mailing address
640 GILL FIELD RD, MADISONVILLE, KY 42431-9569
(270) 339-8740
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
264355
KY
Other
Enumeration date
07/03/2021
Last updated
07/03/2021
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