Organization
FRUITFUL SPEECH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN SUZANNE TABB (SPEECH LANGUAGE PATHOLOGIST)
(859) 743-8072
Entity
Organization
Contact information
Practice address
5253 SONORA HARDIN SPRINGS RD, SONORA, KY 42776-9359
(859) 743-8072
Mailing address
5253 SONORA HARDIN SPRINGS RD, SONORA, KY 42776-9359
(859) 743-8072
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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