Healthcare Provider Details

I. General information

NPI: 1285564666
Provider Name (Legal Business Name): SHERADYN GRACE COX CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 LEXINGTON RD STE A&B
RICHMOND KY
40475-7924
US

IV. Provider business mailing address

2150 LEXINGTON RD STE A&B
RICHMOND KY
40475-7924
US

V. Phone/Fax

Practice location:
  • Phone: 859-353-5445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number308222
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: