Individual
WHITNEY ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73 RUSSELBURG LN, CLOVERPORT, KY 40111-5248
(270) 617-3185
Mailing address
73 RUSSELBURG LN, CLOVERPORT, KY 40111-5248
(270) 617-3185
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3847
KY
Other
Enumeration date
12/07/2013
Last updated
12/07/2013
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