Savannah Grace Sergent, M.S. SLP-CFY

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

NPI 1437822467 · NPPES record last updated Jul 27, 2021

Key facts

NPI
1437822467
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
271085 (KY)
Practice address
130 Kate Ireland Dr
Hyden, KY 41749-9071
Phone
(606) 672-1127
Fax
(606) 672-1966
NPI assigned
Jul 27, 2021
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
271085KYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 271085 KY Yes

Addresses

Primary practice location

130 Kate Ireland Dr
Hyden, KY 41749-9071

Mailing address

PO Box 445
Benham, KY 40807-0445
Phone (606) 273-7777

Other providers in Hyden, KY

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

Sources for this page

Verify at the official NPI Registry.