Individual
REBEKAH LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3699 ALEXANDRIA PIKE, SUITE D, COLD SPRING, KY 41076-1789
(859) 572-0430
(859) 572-0163
Mailing address
3699 ALEXANDRIA PIKE, SUITE D, COLD SPRING, KY 41076-1789
(859) 572-0430
(859) 572-0163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
171134
KY
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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