Individual
ANN WILSON PHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3324 FRONTIER TRL, LOUISVILLE, KY 40220-2654
(502) 435-6316
Mailing address
905 MAGNOLIA AVE, SHELBYVILLE, KY 40065-1533
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2386
KY
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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