Individual
CHARLOTTE HERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 ORPHANAGE RD, FT MITCHELL, KY 41017-3006
(859) 331-0880
Mailing address
8560 EVERGREEN DR, FLORENCE, KY 41042-9253
(859) 802-0863
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
272937
KY
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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