Doctor Name: | MRS. MAGHAN KENSI BRYANT |
NPI Number: | 1053700997 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SLPLPA00211730 |
Business Practice Address: | 215 Dunbar Cave Rd Ste A Clarksville, TN - 370438850 |
Business Phone Number: | 9315422739 |
Business Fax Number: | |
Mailing Address: | 325 E Broadway, MAYFIELD |
State: | KY |
Postal Code: | 420662405 |
Phone Number: | 2706253463 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2015 |
NPI Last Update Date: | 01/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLPLPA00211730 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
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 |