Individual
MS. JAYNE M ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC
Contact information
Practice address
112 GADWALL LN, WINCHESTER, KY 40391-7850
(859) 771-1593
(859) 744-0281
Mailing address
112 GADWALL LN, WINCHESTER, KY 40391-7850
(859) 771-1593
(859) 744-0281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1362
KY
235Z00000X
Speech-Language Pathologist
139846
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100427200
—
KY
Enumeration date
03/10/2007
Last updated
01/10/2017
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