Individual
JESSICA SHEA HUNDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4082
(859) 224-4082
Mailing address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4082
(859) 224-4082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
167713
KY
235Z00000X
Speech-Language Pathologist
SLPIN00218791
KY
Other
Enumeration date
05/29/2015
Last updated
07/23/2020
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