Healthcare Provider Details

I. General information

NPI: 1245401462
Provider Name (Legal Business Name): PARTNERS IN COMMUNICATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2008
Last Update Date: 05/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 EVENSONG DR
UNION KY
41091-6906
US

IV. Provider business mailing address

3600 EVENSONG DR
UNION KY
41091-6906
US

V. Phone/Fax

Practice location:
  • Phone: 502-550-2525
  • Fax: 877-212-2525
Mailing address:
  • Phone: 502-550-2525
  • Fax: 877-212-2525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. GRACE ANN GINGRICH
Title or Position: PRESIDENT / SLP
Credential: M.A.ED., CCC-SLP
Phone: 502-550-2525