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NPI Code Detail

MEDICARE: PAULA DUPREE

MEDICARE: PAULA DUPREE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist1340KY

General Provider Information

NPI Number : 1013305846
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA DUPREE
Provider Business Mailing Address
First Line : 813 S MAIN ST
Second Line : EDMONSON CENTER
City : BROWNSVILLE
State : KY
Zip : 42210-9009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 813 S MAIN ST
Second Line : EDMONSON CENTER
City : BROWNSVILLE
State : KY
Zip : 42210-9009
Country : US
Telephone Number : 270-597-2355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2015
Last Update Date : 01/01/2015

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Directions to “ PAULA DUPREE ” Practice Location

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