Individual
MRS. DEBRA JEAN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1500 PRIDE AVE, MADISONVILLE, KY 42431-9157
(270) 821-1813
Mailing address
150 TIMBERVIEW LN, MADISONVILLE, KY 42431-8500
(270) 825-8219
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0452
KY
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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