Whalio Doctors

NPI 1033390612

Susan E Shoulders, MSCCCSLP

Practitioner Early Intervention Provider Agency Mt Washington, KY

Practice location

Address
1123 N Bardstown Rd Suite #2, Mt Washington, KY 40047-7843
Phone
(502) 472-1194
Mailing address
PO Box 91286, Louisville, KY 40291-0286

Registered specialties (7)

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X
Registered Dietitian
Dietary & Nutritional Service Providers Taxonomy 133V00000X
Developmental Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X
Occupational Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 3419 (KY)
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Registry record

NPI
1033390612
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Nov 2007
Record last updated
7 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.