Individual
MRS. STEPHANIE PADGETT SUPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3124 MEADOWVIEW AVE, BOWLING GREEN, KY 42101-8779
(270) 668-7306
Mailing address
3124 MEADOWVIEW AVE, BOWLING GREEN, KY 42101-8779
(270) 668-7306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
143067
KY
Other
Enumeration date
02/21/2013
Last updated
03/17/2018
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