Individual
MICHELLE E TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1538 CAVE SPRINGS RD, TOMPKINSVILLE, KY 42167-1811
(270) 576-1610
Mailing address
1538 CAVE SPRINGS RD, TOMPKINSVILLE, KY 42167-1811
(270) 576-1610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPLPA00223999
KY
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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