Provider Demographics
NPI:1558404889
Name:SLONE, DARLENE MCCOY (MA DI)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:MCCOY
Last Name:SLONE
Suffix:
Gender:F
Credentials:MA DI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 MUSIC ST
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-8906
Mailing Address - Country:US
Mailing Address - Phone:606-371-3396
Mailing Address - Fax:606-371-3396
Practice Address - Street 1:47 MUSIC ST
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-8906
Practice Address - Country:US
Practice Address - Phone:606-371-3396
Practice Address - Fax:606-371-3396
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist