Organization
THE SPEECH NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA MOORE CHASTAIN MA, CCC-SLP (DIRECTOR/SPEECH-LANGUAGE PATHOLOGIS)
(859) 402-1553
Entity
Organization
Contact information
Practice address
110 DENNIS DR, LEXINGTON, KY 40503-2917
(859) 402-1553
(859) 514-6575
Mailing address
110 DENNIS DR, LEXINGTON, KY 40503-2917
(859) 402-1553
(859) 514-6575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3648
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000648031
ANTHEM PIN
KY
05
—
7100146650
—
KY
Enumeration date
06/01/2009
Last updated
04/12/2018
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