Individual
SOPHIA NICHOLE GREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
198 OLD SYMSONIA RD, BENTON, KY 42025-2516
(270) 533-3087
Mailing address
355 WADESBORO RD, PADUCAH, KY 42003-1074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
294375
KY
Other
Enumeration date
07/01/2024
Last updated
07/10/2025
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