Individual
HALEY KATHRYN TYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(703) 575-8129
Mailing address
125 TEAL LN, WINCHESTER, KY 40391-8243
(859) 595-6211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
265820
KY
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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