Individual
MRS. ANGELA GAYLE BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2150 LEXINGTON RD STE G, RICHMOND, KY 40475-7924
(606) 305-4354
(877) 665-7294
Mailing address
2150 LEXINGTON RD STE G, RICHMOND, KY 40475-7924
(606) 305-4354
(877) 665-7294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2062
KY
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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