Individual
REBECCA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
65 MINTON HICKORY FARM RD, BARBOURVILLE, KY 40906-8302
(606) 546-5136
Mailing address
PO BOX 578, EAST BERNSTADT, KY 40729-0578
(606) 304-0177
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
241432
KY
Other
Enumeration date
02/24/2019
Last updated
02/24/2019
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