Individual
FATIMA N WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
205 CHAMPION WAY STE 11, GEORGETOWN, KY 40324-8862
(502) 603-0020
(502) 370-4079
Mailing address
512 MARYLAND AVE APT 115, LEXINGTON, KY 40508-2210
(202) 378-0547
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
140628
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558233494
—
KY
Enumeration date
04/12/2012
Last updated
04/14/2026
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