Individual
MRS. LISA THOMPSON WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1575 LEXINGTON RD, WILMORE, KY 40390-9774
(859) 858-9197
(859) 858-2733
Mailing address
1575 LEXINGTON RD, WILMORE, KY 40390-9774
(859) 858-9197
(859) 858-2733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1582
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1582
STATE LICENSE NUMBER
KY
Enumeration date
11/13/2006
Last updated
07/08/2007
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