Jess Cowman
Individual provider Active NPI Speech-Language Pathologist · Radcliff, KY
NPI 1104434653 · NPPES record last updated Jul 21, 2020
Key facts
- NPI
- 1104434653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 363 W Lincoln Trail Blvd
Radcliff, KY 40160-3302 - Phone
- (573) 855-7767
- NPI assigned
- Jul 21, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Intervention and Consultation Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
363 W Lincoln Trail Blvd
Radcliff, KY 40160-3302
Mailing address
363 W Lincoln Trail Blvd
Radcliff, KY 40160-3302
Phone (573) 855-7767
Other providers in Radcliff, KY
- Felty Blake Colwell
- Commonwealth of Kentucky
- Communicare Inc
- Kellie Conley
- Philip Cornette III
- Ashley Craig
- David Brian Criscola
- Elouise Cross
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
All providers in Radcliff, 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 Jul 21, 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.