Individual
MRS. RALEY MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 333-1751
Mailing address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
(859) 224-4082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
263980
KY
235Z00000X
Speech-Language Pathologist
Primary
269313
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100736380
—
KY
Enumeration date
05/19/2020
Last updated
03/06/2023
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