Robert Lee
Individual provider Active NPI Speech-Language Pathologist · Lebanon, KY
NPI 1497976971 · NPPES record last updated Jun 13, 2022
Key facts
- NPI
- 1497976971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3126 (KY)
- Practice address
- 71 Meadow LN
Lebanon, KY 40033-1972 - Phone
- (270) 402-3923
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3126 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communication Beyond Limits, PLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Talsit, Inc | Speech-Language Pathologist | Past | Accepting new patients |
| Therapy Network | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3126 | KY | Yes |
Addresses
Primary practice location
71 Meadow LN
Lebanon, KY 40033-1972
Mailing address
71 Meadow LN
Lebanon, KY 40033-1972
Phone (270) 402-3923
Other practice location 1
3324 Frontier Trail
Louisville, KY 40220-2654
Phone (502) 435-6316
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100439650 | Medicaid | KY |
Other providers in Lebanon, KY
- Lebanon Massage Therapeutics, Inc.
- Lebanon Pediatrics LLC
- Lebanon Pediatrics, LLC
- Lebanon Physicians for Women
- Lebanon Surgical Associates, P.S.C.
- Lincoln Trail District Health Department
- Kimberly Dean Lobb
- Dana Michelle Logsdon
- Marvin D Mabry
- Ruth Elaine Mackey
All providers in Lebanon, 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 Jun 13, 2022. 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.