Bluegrass Fiberoptic Endoscooic Evaluation of Swallowing (fees)

NPI #1518465350 in Lexington, Kentucky

Provider Information

NPI Number: 1518465350
Entity Type: Organization
Organization Name: Bluegrass Fiberoptic Endoscooic Evaluation of Swallowing (fees)
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Jan 26, 2018
Last Updated: Jan 26, 2018

Practice Location

Address: 171 N EAGLE CREEK DR STE 102
City: Lexington
State: Kentucky
ZIP Code: 40509-1801
Phone: (202) 378-0547

Authorized Official

Name: FATIMA WARREN, MS CCC-SLP
Title: OWNER/PRACTITIONER
Phone: (202) 378-0547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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