Individual
ANN BANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6317 HIGHWAY 329, CRESTWOOD, KY 40014-9040
(502) 384-0910
(502) 384-0908
Mailing address
1918 GRAND VILLA DR, LA GRANGE, KY 40031-8998
(502) 265-0374
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0373
KY
235Z00000X
Speech-Language Pathologist
22004111A
IN
Other
Enumeration date
03/22/2007
Last updated
02/11/2008
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