Doctor Name: | MRS. COURTNEY MCMANUS NUCKOLS |
NPI Number: | 1063573624 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | KY-2890 |
Business Practice Address: | 333 S Hill Rd Versailles, KY - 403838664 |
Business Phone Number: | 8598790051 |
Business Fax Number: | 8592260899 |
Mailing Address: | 333 S Hill Rd, VERSAILLES |
State: | KY |
Postal Code: | 403838664 |
Phone Number: | 8598790051 |
Fax Number: | 8592260899 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | KY-2890 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |