Doctor Name: | MRS. TRACI KEMPF MCGUIRE |
NPI Number: | 1659581304 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-SLP |
License Number: | KY-2388 |
Business Practice Address: | 11179 Trumpeter Ct Walton, KY - 410948383 |
Business Phone Number: | 8599924540 |
Business Fax Number: | 8778203121 |
Mailing Address: | 11179 Trumpeter Ct, WALTON |
State: | KY |
Postal Code: | 410948383 |
Phone Number: | 8599924540 |
Fax Number: | 8778203121 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | KY-2388 |
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 |