MEDICARE: PAL PLAY AND LEARN THERAPY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1811780661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAL PLAY AND LEARN THERAPY SERVICES

Provider Business Mailing Address
First Line	:	61 COVERT PL
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-1075
Country	:	US
Telephone Number	:	251-689-4482
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 COVERT PL
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-1075
Country	:	US
Telephone Number	:	251-689-4482
Fax Number	:	859-757-2490

Authorized Official
Title or Position	:	SPEECH AND LANGUAGE PATHOLOGIST
Name	:	MRS. KATHRYN HALE ALVERSON
Credential	:	MS CCC-SLP
Telephone Number	:	251-689-4482

Provider Enumeration Date	:	05/26/2025
Last Update Date	:	05/26/2025

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Directions to “PAL PLAY AND LEARN THERAPY SERVICES ” Practice Location

Language	Start Address	Practice Location

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