Provider Demographics
NPI:1538983697
Name:CASH, ADISON
Entity type:Individual
Prefix:
First Name:ADISON
Middle Name:
Last Name:CASH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 CYPRESS HILL LN
Mailing Address - Street 2:
Mailing Address - City:FANCY FARM
Mailing Address - State:KY
Mailing Address - Zip Code:42039-9491
Mailing Address - Country:US
Mailing Address - Phone:270-804-9621
Mailing Address - Fax:
Practice Address - Street 1:384 CYPRESS HILL LN
Practice Address - Street 2:
Practice Address - City:FANCY FARM
Practice Address - State:KY
Practice Address - Zip Code:42039-9491
Practice Address - Country:US
Practice Address - Phone:270-804-9621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY293666235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist