Most Relevant Information
Provider Data
| NPI Number: | 1003491523 |
| Provider Name: | STEPHANIE JILL DYER CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/16/2021 |
| Last Updated: | 03/16/2021 |
Provider Practice Location
3920 DUTCHMANS LN
LOUISVILLE
KY
402074702
Practice Location Phone/Fax
| Phone: | 5022596608 |
| Fax: |
Provider Mailing Location
3920 DUTCHMANS LN
LOUISVILLE
KY
402074702
Provider Mailing Phone/Fax
| Phone: | 5022596608 |
| Fax: | 5022596605 |