Phyllis Atzinger, MSCCCSLP
Individual provider Active NPI Speech-Language Pathologist · Louisville, KY
NPI 1194932772 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194932772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1282 (KY)
- Practice address
- 1210 Potomac PL
Louisville, KY 40214-4143 - Phone
- (502) 366-6723
- NPI assigned
- May 16, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1282 | KY | Yes |
Addresses
Primary practice location
1210 Potomac PL
Louisville, KY 40214-4143
Mailing address
1210 Potomac PL
Louisville, KY 40214-4143
Phone (502) 366-6723
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All providers in Louisville, 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 8, 2007. 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.