Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISANNE SIMMS CRAVEN M.S., CCC (SPEECH-LANGUAGE PATHOLOGIST)
(502) 459-8052
Entity
Organization
Contact information
Practice address
2028 STRATHMOOR BLVD, LOUISVILLE, KY 40205-2528
(502) 459-8052
Mailing address
2028 STRATHMOOR BLVD, LOUISVILLE, KY 40205-2528
(502) 459-8052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
405
KY
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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