Individual
LYNDA MCCALL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SP
Contact information
Practice address
13010 EASTGATE PARK WAY STE 101, LOUISVILLE, KY 40223-3984
(502) 244-1210
Mailing address
2012 CHERRY RIDGE CT, LA GRANGE, KY 40031-7991
(502) 744-5361
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
244503
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244503
KY SLP LICENCE
KY
Enumeration date
09/03/2019
Last updated
09/03/2019
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