Healthcare Provider Details

I. General information

NPI: 1790394278
Provider Name (Legal Business Name): COMMUNICATION CONNECTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2020
Last Update Date: 07/30/2020
Certification Date: 07/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6754 E HIGHWAY 60
SALT LICK KY
40371-8980
US

IV. Provider business mailing address

6754 E HIGHWAY 60
SALT LICK KY
40371-8980
US

V. Phone/Fax

Practice location:
  • Phone: 606-356-0167
  • Fax:
Mailing address:
  • Phone: 606-356-0167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANNE COURTNEY MCKENZIE
Title or Position: PRESIDENT/OWNER
Credential: M.S., CCC-SLP
Phone: 606-356-0167