Organization
21C SPEECH- LANGUAGE TELEPRACTICE
Active
Other names
21C Speech
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LEIGH GROSS M.A. CCC/ SLP (SPEECH LANGUAGE PATHOLOGIST/ OWNER)
(859) 582-3659
Entity
Organization
Contact information
Practice address
543 GENERAL CRUFT DR, RICHMOND, KY 40475-7520
(859) 582-3659
Mailing address
543 GENERAL CRUFT DR, RICHMOND, KY 40475-7520
(859) 582-3659
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2151
KY
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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