Individual
TERI LEE PRIVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
913 E KNIGHT CT, HENDERSON, KY 42420-5331
(270) 827-2055
Mailing address
913 E KNIGHT CT, HENDERSON, KY 42420-5331
(270) 827-2055
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3396
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01132967
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
01
—
3396
KENTUCKY BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
KY
Enumeration date
08/26/2010
Last updated
08/26/2010
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