Individual
BERYL ALEXANDRA BOBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
701 LIBERTY RIDGE LN, LEXINGTON, KY 40509-4564
(843) 446-8587
Mailing address
1200 AUTUMN RIDGE DR, LEXINGTON, KY 40509-2542
(843) 446-8587
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
292464
KY
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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