Doctor Name: | LINDSAY GRAVES |
NPI Number: | 1295034585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 3873 |
Business Practice Address: | 105 Laura Sue Humphress Dr Campbellsville, KY - 427188899 |
Business Phone Number: | 2704657768 |
Business Fax Number: | 2704650068 |
Mailing Address: | 105 Laura Sue Humphress Dr, CAMPBELLSVILLE |
State: | KY |
Postal Code: | 427188899 |
Phone Number: | 2704657768 |
Fax Number: | 2704650068 |
NPI Enumeration Date: | 03/25/2011 |
NPI Last Update Date: | 03/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3873 |
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 |