Individual
MARY ELIZABETH AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6317 HIGHWAY 329, CRESTWOOD, KY 40014-9040
(502) 384-0910
Mailing address
4515 TIMOTHY WAY, CRESTWOOD, KY 40014-9161
(502) 797-9681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3806
KY
Other
Enumeration date
09/15/2010
Last updated
07/08/2020
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