Mary M Duvall, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY-2451 Issued in KY

Practice address

6140 Old State Rd
Philpot, KY 42366-8802

Phone

(270) 729-0951

NPI assigned

Jan 29, 2008

Last updated

Jan 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1982881231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 OLD STATE RD",
            "city": "PHILPOT",
            "state": "KY",
            "postal_code": "423668802",
            "telephone_number": "270-729-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 OLD STATE RD",
            "city": "PHILPOT",
            "state": "KY",
            "postal_code": "423668802",
            "telephone_number": "270-729-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "MARY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-2451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Boarman, ARNP
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• Laura Day-Roth, M.A.
• Deaconess Clinic, Inc. (Deaconess Clinic - Philpot)
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• Susan Fuqua Fenwick
• Fiddlewood Farmacy (The Farmacy)
• Green River Area Down Syndrome
• Phyllis Ann Hearne, RN

• Speech-Language Pathologist in Philpot, KY
• Providers in Philpot, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.