Healthcare Provider Details

I. General information

NPI: 1265560973
Provider Name (Legal Business Name): LEXINGTON HEARING AND SPEECH CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HENRY CLAY BLVD.
LEXINGTON KY
40502
US

IV. Provider business mailing address

350 HENRY CLAY BLVD
LEXINGTON KY
40502-1024
US

V. Phone/Fax

Practice location:
  • Phone: 859-268-4545
  • Fax: 859-269-1857
Mailing address:
  • Phone: 859-268-4545
  • Fax: 859-269-1857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: MARCEY ANSLEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 859-268-4545