Individual
MRS. LISA G TINDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
814 OLD EKRON RD, BRANDENBURG, KY 40108-1149
(270) 422-2148
(270) 422-4791
Mailing address
2192 ROSETTA CORNERS RD, IRVINGTON, KY 40146-5849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07005
KY
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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