Organization
MILESTONES SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LYNN FACKLER (SPEECH LANGUAGE PATHOLOGIST)
(502) 648-7696
Entity
Organization
Contact information
Practice address
1966 GARRETT RD, BRANDENBURG, KY 40108-6343
(502) 648-7696
Mailing address
1966 GARRETT RD, BRANDENBURG, KY 40108-6343
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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