Organization
PEGASUS FARM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE D VERBLE (OWNER)
(270) 765-9745
Entity
Organization
Contact information
Practice address
4271 ROUNDTOP RD, ELIZABETHTOWN, KY 42701-8244
(270) 765-9745
Mailing address
4271 ROUNDTOP RD, ELIZABETHTOWN, KY 42701-8244
(270) 765-9745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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