MEDICARE: PAMELA KAY WARMAN M.S., CCC-SLP

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
1	235Z00000X	Speech-Language Pathologist	2737	KY

General Provider Information

NPI Number	:	1275849002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA KAY WARMAN M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	11501 LARKIN FORE WAY
Second Line	:	UNIT 201
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-3886
Country	:	US
Telephone Number	:	502-762-4193
Fax Number	:

Provider Business Practice Location Address
First Line	:	11501 LARKIN FORE WAY
Second Line	:	UNIT 201
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-3886
Country	:	US
Telephone Number	:	502-762-4193
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2010
Last Update Date	:	05/07/2015

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Directions to “ PAMELA KAY WARMAN M.S., CCC-SLP” Practice Location

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