Bullock-Davidson, Miranda Wynn

Bullock-Davidson, Miranda Wynn is an individual health care provider with primary practice located at 1001 Monarch St Ste. 110, Lexington KY 40513-1495. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bullock-Davidson, Miranda Wynn can be contacted via phone (859) 224-0834.

Contact Information

Primary practice address
1001 Monarch St Ste. 110 Lexington KY 40513-1495
Phone: (859) 224-0834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 10-027 Kentucky

Profile Details

NPI number 1104144336
LBN Legal business name Bullock-Davidson, Miranda Wynn
Credentials M.S., CFY-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2010
Last updated May 12th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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