Individual provider · Type 1 NPI

Miranda Wynn Bullock-Davidson, M.S., CFY-SLP

Speech-Language Pathologist · Lexington, KY

NPI number 1104144336 Active

Practice location

1001 Monarch St, Ste. 110
Lexington, KY 40513-1495

Call (859) 224-0834 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X10-027 (KY)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1104144336

Miranda Wynn Bullock-Davidson, M.S., CFY-SLP's National Provider Identifier is 1104144336, issued on May 12, 2010. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Lexington, KY. The record was last updated on May 12, 2010.