Miracle, Mallory

Miracle, Mallory is an individual health care provider with primary practice located at 6317 Highway 329 , Crestwood KY 40014-9040. 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. Miracle, Mallory can be contacted via phone (502) 384-0910.

Contact Information

Primary practice address
6317 Highway 329 Crestwood KY 40014-9040
Phone: (502) 384-0910
Fax: (502) 384-0908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12-043 Kentucky

Profile Details

NPI number 1538507413
LBN Legal business name Miracle, Mallory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2013
Last updated Jun 12th, 2013 - about 13 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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