Individual
DAKSHIKA WIJAYANTHIE BANDARANAYAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 ALEXANDRIA PIKE STE 4-7, FORT THOMAS, KY 41075-4108
(859) 442-7000
Mailing address
9850 MELODY DR, UNION, KY 41091-6902
(513) 658-2098
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
141115
KY
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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