Individual
MRS. AMBER DEVINE-STINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1405 E BURNETT AVE, LOUISVILLE, KY 40217-1577
(502) 588-0736
(502) 588-0721
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4268
KY
235Z00000X
Speech-Language Pathologist
Primary
4268
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100287740
—
KY
01
—
7100309630
EPSDT SPECIAL SERVICES
KY
Enumeration date
05/10/2013
Last updated
10/13/2020
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