Jonathan Dean West MS CCCSLP

NPI 1316152945 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1316152945
Gender Male
Enumeration Date 05/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1831 OLD CLEAR SPRINGS RD
RUSSELL SPRINGS KY, 42642, US
Phone (270) 343-2278
Fax (270) 343-2978
Business Location
1831 OLD CLEAR SPRINGS RD
RUSSELL SPRINGS KY, 42642, US
Phone (270) 343-2278
Fax (270) 343-2978
Toxanomy
Taxonomy Code 235Z00000X
License State Kentucky
License Number 1685
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According to our database, Mr. Jonathan Dean West MS CCCSLP NPI is 1316152945, taxonomy code is 235Z00000X and license number is 1685, license state is located at Kentucky. Jonathan Dean West MS CCCSLP physically located at 1831 Old Clear Springs Rd, Russell Springs KY, 42642. NPI Number Jonathan Dean West MS CCCSLP has the Individual type.

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1316152945 NPI number is provided on an as is basis without warranty of any kind. 1316152945 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Dean West MS CCCSLP are for informational purposes only.