Organization · Type 2 NPI

Western Kentucky University Speech Clinic

Rehabilitation Clinic/Center · Bowling Green, KY

NPI number 1144636986 Active

Practice location

104 Alumni Ave
Bowling Green, KY 42101-3404

Fax (270) 745-4233

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Clinic/Center Primary	261QR0400X	None listed

Rehabilitation Clinic/Center: Definition to come...

Another provider at this address

Sarah Elizabeth McMaine-RenderMental Health Counselor Bowling Green, KY NPI 1205673506

Other rehabilitation clinic/center providers in Bowling Green

See all in Bowling Green →

NPI record

NPI: 1144636986
Entity type: Organization (Type 2)
Issued: Jul 1, 2014
Last updated: Jul 1, 2014
Status: Active
Subpart: Yes of Western Kentucky University

Other names

<unavail>
Wku Communication Disorders Clinic · other name

Authorized official

Dr. Mary Lloyd Moore, ED.D., CCC-SLP
Director
(270) 745-2183

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About NPI 1144636986

Western Kentucky University Speech Clinic's National Provider Identifier is 1144636986, issued on Jul 1, 2014. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Bowling Green, KY. The record was last updated on Jul 1, 2014.