Individual
SABRINA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP, CLC
Contact information
Practice address
50 GENE CASH RD, CAMPBELLSVILLE, KY 42718-4908
(270) 465-7768
Mailing address
6682 LIBERTY RD, COLUMBIA, KY 42728-9022
(361) 683-9377
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ALPP-320160
KY
235Z00000X
Speech-Language Pathologist
124815
TX
235Z00000X
Speech-Language Pathologist
Primary
265289
KY
Other
Enumeration date
09/29/2021
Last updated
03/23/2026
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