Individual
MISS TESS MYRA MCCOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3018 VELDEN DR, LOUISVILLE, KY 40220-3454
(720) 339-9553
Mailing address
3018 VELDEN DR, LOUISVILLE, KY 40220-3454
(720) 339-9553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2145
KY
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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