Cynthia S Vincent, SLP
Individual provider Active NPI Speech-Language Pathologist · Austin, KY
NPI 1104066828 · NPPES record last updated Apr 29, 2020
Key facts
- NPI
- 1104066828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1891 (KY)
- Practice address
- 87 Pine Tree Cir
Austin, KY 42123-9227 - Phone
- (270) 779-0622
- NPI assigned
- Feb 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1891 | KY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1891 | KY | Yes |
Addresses
Primary practice location
87 Pine Tree Cir
Austin, KY 42123-9227
Mailing address
87 Pine Tree Cir
Austin, KY 42123-9227
Phone (270) 779-0622
Other practice location 1
133 Timberlodge Rd
Austin, KY 42123-9220
Phone (270) 779-0622
Other providers in Austin, KY
All providers in Austin, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.