Individual
JACQUELINE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
910 FENLEY AVENUE, LOUISVILLE, KY 40222
(502) 216-1733
Mailing address
910 FENLEY AVE, LOUISVILLE, KY 40222-4448
(502) 216-1733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
168679
KY
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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