Individual
SUSAN FACKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1966 GARRETT RD, BRANDENBURG, KY 40108-6343
(502) 648-7696
Mailing address
1966 GARRETT RD, BRANDENBURG, KY 40108-6343
(502) 648-7696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPINP00216497
KY
Other
Enumeration date
01/28/2015
Last updated
03/03/2020
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