Individual
JENNIFER GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 BROOKFIELD AVE, LOUISVILLE, KY 40207-2001
(502) 432-3533
Mailing address
3915 BROOKFIELD AVE, LOUISVILLE, KY 40207-2001
(502) 432-3533
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4397
KY
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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