Healthcare Provider Details

I. General information

NPI: 1437499316
Provider Name (Legal Business Name): SOUND BEGINNINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2013
Last Update Date: 02/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11052 WASHINGTON TRACE RD
CALIFORNIA KY
41007-8403
US

IV. Provider business mailing address

11052 WASHINGTON TRACE RD
CALIFORNIA KY
41007-8403
US

V. Phone/Fax

Practice location:
  • Phone: 859-991-2882
  • Fax:
Mailing address:
  • Phone: 859-991-2882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number3752
License Number StateKY

VIII. Authorized Official

Name: MRS. BRITTANY KAY HUMPHREYS
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 859-991-2882