Organization Name: | LAKE CUMBERLAND CHILD DEVELOPMENT, INC |
NPI Number: | 1386772051 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANA WITHAM SPECK (PRESIDENT) |
Mailing Address: | 1056 S Highway 27 Ste 9 Somerset |
State: | KY US |
Postal Code: | 425012893 |
Phone Number: | 6066771166 |
Fax Number: | 6064513386 |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 09/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |