Individual
MRS. TUCKER BALDWIN BETHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
448 LEWIS HARGETT CIR STE 220, LEXINGTON, KY 40503-3596
(859) 475-4305
Mailing address
448 LEWIS HARGETT CIR STE 220, LEXINGTON, KY 40503-3596
(859) 475-4305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
174090
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174090
KENTUCKY BOARD OF SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY
KY
Enumeration date
08/30/2017
Last updated
05/15/2023
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