Olivia Wright, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Burkesville, KY

NPI 1235798745 · NPPES record last updated Jun 8, 2019

Key facts

NPI
1235798745
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
173572 (KY)
Practice address
301 S Main St
Burkesville, KY 42717-9625
Phone
(270) 864-4315
NPI assigned
Jun 8, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
173572KYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 173572 KY Yes

Addresses

Primary practice location

301 S Main St
Burkesville, KY 42717-9625

Mailing address

1365 Cooktown Rd
Austin, KY 42123-9718
Phone (270) 427-8522

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL url

Other providers in Burkesville, KY

All providers in Burkesville, KY · Speech-Language Pathologist in Kentucky

Sources for this page

Verify at the official NPI Registry.