Individual
HALIE GUNDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
915 WELLSLAND RD, ADAIRVILLE, KY 42202-8983
(615) 430-8300
Mailing address
915 WELLSLAND RD, ADAIRVILLE, KY 42202-8983
(615) 430-8300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7507
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530914
—
TN
Enumeration date
04/05/2022
Last updated
03/26/2026
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