Individual
MRS. JENNIFER LEIGH GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
543 GENERAL CRUFT DR, RICHMOND, KY 40475-7520
(859) 582-3659
Mailing address
543 GENERAL CRUFT DR, RICHMOND, KY 40475-7520
(859) 582-3659
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2151
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
KY
Enumeration date
03/04/2016
Last updated
03/04/2016
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