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General NPI Number Information
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NPI Number | 1821115395
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Entity Type | Organization
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Legal Business Name | SPEECH, HEARING & COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 210 W 15TH ST
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-2036
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Country | US
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Telephone | 270-885-0034
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Fax | 270-886-7947
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Provider Business Mailing Address
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Address Line | 210 WEST 15TH STREET
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-2036
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Country | US
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Telephone | 270-885-0034
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Fax | 270-886-7947
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. THELMA MIRIAM MCKENZIE
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Credential | M.S.
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Telephone | 270-885-0034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | KY-0044
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License Number State | KY
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