Individual
MRS. STACY REBECCA PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3517 NUGGET DR, BOWLING GREEN, KY 42104-7439
(270) 535-4821
Mailing address
3517 NUGGET DR, BOWLING GREEN, KY 42104-7439
(270) 535-4821
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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