Individual
ALLISON CORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 S KEENELAND DR # 2, RICHMOND, KY 40475-3227
(606) 224-4504
Mailing address
229 S KEENELAND DR # 2, RICHMOND, KY 40475-3227
(606) 224-4504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3794
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12140286
—
KY
Enumeration date
06/02/2014
Last updated
06/02/2014
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