Organization Name: | EASTERN KENTUCKY SPEECH AND LANGUAGE CLINIC |
NPI Number: | 1871909432 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TINA WEBB (EXECUTIVE DIRECTOR) |
Mailing Address: | 3041 Ky Rt 7 Wayland |
State: | KY US |
Postal Code: | 41666 |
Phone Number: | 6062053121 |
Fax Number: | 6064472493 |
NPI Enumeration Date: | 07/03/2014 |
NPI Last Update Date: | 07/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2895 |
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 |