Doctor Name: | MRS. KEANE GREGORY HALE |
NPI Number: | 1427271071 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 0627 |
Business Practice Address: | 106 N Front Ave Prestonsburg, KY - 416537832 |
Business Phone Number: | 6068863891 |
Business Fax Number: | 6068869081 |
Mailing Address: | Po Box 61, BLUE RIVER |
State: | KY |
Postal Code: | 416070061 |
Phone Number: | 6068868740 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0627 |
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 |