Individual
WHITNEY MOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2520 BARDSTOWN ROAD, SUITE 8, LOUISVILLE, KY 40205
(502) 451-2142
(502) 451-2740
Mailing address
1114 BROCKLEY WAY, APT. F1, BOWLING GREEN, KY 42103
(270) 670-5099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3244
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1463
CBIS PROVIDER NUMBER
KY
Enumeration date
05/03/2007
Last updated
07/08/2007
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