Doctor Name: | MRS. MARY TODD GREGORY |
NPI Number: | 1043463755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC/SLP |
License Number: | SA 8631 |
Business Practice Address: | 240 E Main St Gregory Building Mount Vernon, KY - 404562210 |
Business Phone Number: | 6062564449 |
Business Fax Number: | |
Mailing Address: | Po Box 220, MOUNT VERNON |
State: | KY |
Postal Code: | 404560220 |
Phone Number: | 6062564449 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2008 |
NPI Last Update Date: | 10/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 8631 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |