Individual
MS. MARY RICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 596-1109
Mailing address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 596-1109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2684
KY
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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