Individual
MELANIE J PETRUSHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-S-LP
Contact information
Practice address
3699 ALEXANDRIA PIKE STE D, COLD SPRING, KY 41076-1789
(859) 572-0430
Mailing address
5085 PETERSBURG RD, PETERSBURG, KY 41080-9350
(859) 586-0081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPLPA00210185
KY
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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