Doctor Name: | LACEY PRITCHARD |
NPI Number: | 1316241433 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S, CCC-SLP |
License Number: | 10-014 |
Business Practice Address: | 762 John Streat Rd Russell Springs, KY - 426428642 |
Business Phone Number: | 2705663323 |
Business Fax Number: | 2703436059 |
Mailing Address: | 762 John Streat Rd, RUSSELL SPRINGS |
State: | KY |
Postal Code: | 426428642 |
Phone Number: | 2705663323 |
Fax Number: | 2703436059 |
NPI Enumeration Date: | 01/04/2011 |
NPI Last Update Date: | 01/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10-014 |
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 |