Provider Demographics
NPI:1144042946
Name:MUHLENBERG DYSLEXIA CONSULTANTS
Entity type:Organization
Organization Name:MUHLENBERG DYSLEXIA CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:LATHAM
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:270-977-6707
Mailing Address - Street 1:102 SUMNER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42345-1708
Mailing Address - Country:US
Mailing Address - Phone:270-977-6707
Mailing Address - Fax:270-713-1718
Practice Address - Street 1:102 SUMNER AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:KY
Practice Address - Zip Code:42345-1708
Practice Address - Country:US
Practice Address - Phone:270-977-6707
Practice Address - Fax:270-713-1718
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1942544069
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-31
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty