Provider Demographics
NPI:1184859860
Name:OWENS, RHIANNON BURKE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:RHIANNON
Middle Name:BURKE
Last Name:OWENS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4553 CRANBROOK CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-1875
Mailing Address - Country:US
Mailing Address - Phone:859-245-4197
Mailing Address - Fax:
Practice Address - Street 1:4553 CRANBROOK CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-1875
Practice Address - Country:US
Practice Address - Phone:859-245-4197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-24
Last Update Date:2009-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-2722235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist