Healthcare Provider Details

I. General information

NPI: 1164795191
Provider Name (Legal Business Name): ANNE DENHAM ED.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2012
Last Update Date: 02/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8112 KY HIGHWAY 11
MAYSVILLE KY
41056-8428
US

IV. Provider business mailing address

8112 KY HIGHWAY 11
MAYSVILLE KY
41056-8428
US

V. Phone/Fax

Practice location:
  • Phone: 606-759-5706
  • Fax:
Mailing address:
  • Phone: 606-759-5706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225CA2400X
TaxonomyAssistive Technology Practitioner Rehabilitation Counselor
License NumberED.S. DEGREE (UK)
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number000048176/KIE
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: