Individual
COURTNEY DANIELLE HERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
652 CARDIFF LN, LEXINGTON, KY 40503-4206
(859) 302-3313
Mailing address
652 CARDIFF LN, LEXINGTON, KY 40503-4206
(859) 302-3313
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201184324
KY
Other
Enumeration date
09/19/2023
Last updated
09/28/2023
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