Tamara Abell

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

NPI 1386836799 · NPPES record last updated Aug 10, 2007

Key facts

NPI
1386836799
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
KY2976 (KY)
Practice address
503 Hickory LN
Elizabethtown, KY 42701-3076
Phone
(270) 765-6106
NPI assigned
Aug 10, 2007
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

State licenses

LicenseStateTypeSpecialty
KY2976KYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X KY2976 KY Yes

Addresses

Primary practice location

503 Hickory LN
Elizabethtown, KY 42701-3076

Mailing address

503 Hickory Lane
Elizabethtown, KY 42701

Other providers in Elizabethtown, KY

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

Sources for this page

Verify at the official NPI Registry.